Request Status
Current stage of the medical record transfer.
Patient Record Request Details
Details for request ID RR050

Patient Name

Jane Allen

MRN

MRN98842

Status

In Progress

Requesting From

Central Clinic

Requested Date

8/21/2025

Case Details
Additional information and context for this request.

This record request was initiated for continuity of care following the patient's recent relocation. The patient, Jane Allen, has a complex medical history including chronic hypertension and Type 2 Diabetes, managed by Central 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).

Eligibility Results
Patient's coverage details based on last check.
StatusActive
Plan NameBlueCross PPO Gold
Coverage Dates01/01/2024 - 12/31/2024
Primary Care Co-pay$25
Specialist Co-pay$50

Deductibles

Individual$850.75 / $1,500
Family$1,250.00 / $3,000

Out-of-Pocket Max

Individual$2,100.50 / $5,000
Family$3,500.00 / $10,000

J

Is it possible to get a copy of the records sent to my email as well?

Aug 24, 11:19 AM
Y

Certainly, we can provide you with a digital copy once the transfer is finalized.

Aug 26, 4:34 AM
J

I've uploaded the consent form you requested. Please let me know if you need anything else.

Aug 27, 8:56 AM
Y

Thank you for following up. Please let us know if they provide any new information.

Aug 28, 3:38 AM
J

Is it possible to get a copy of the records sent to my email as well?

Aug 29, 4:37 PM