Patient Name
Michelle Hill
MRN
MRN85884
Status
Denied
Requesting From
Community Clinic
Requested Date
4/3/2024
This record request was initiated for continuity of care following the patient's recent relocation. The patient, Michelle Hill, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Community Clinic. We require the last 24 months of clinical notes, lab results, and imaging reports to ensure a safe and effective transition to our practice.
Please expedite this request as the patient has an upcoming appointment for medication management. The signed patient consent form is attached to the electronic request sent via the health information exchange (HIE).
Denial Reason
The request was denied due to an invalid or expired patient consent form. Please obtain a new consent form from the patient and resubmit the request.
Deductibles
Out-of-Pocket Max
Notes
Coverage terminated on 12/31/2023. Please check for new insurance.
Thanks for your help, I really appreciate it.
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.
Just confirming my new address is on file for the transfer.
We've received your consent form. The records should be transferred shortly.
Hi, I'm just checking on the status of my record transfer. Any updates?
Thank you for following up. Please let us know if they provide any new information.
Just confirming my new address is on file for the transfer.
We're still waiting for some documents from your previous clinic. We'll notify you once we receive them.