Medical Records request- being stonewalled
My wife and I are trying to get a copy of the medical documentation that was sent to an insurance company last month and used to deny us. In the letter the company cited some issues that were either exaggerated or that I was never informed of, mention of spinal curvature, which no one ever mentioned to me, chronic knee pain - I was treated once two years ago for a brief episode of bursitis.
I have made a request both with the medical records and my doctors nursing staff, they are always 'working' on it. This has been going on three weeks. Last time something was said that gave me the idea they are working up some 'abstract' of my records but won't send the actual ones.
Funny they can send this stuff to total strangers, but not to us. I live in Nebraska, part of the problem I think. Suggestions?
My comments are related to
My comments are related to "used to deny us", I assume you are try to get new coverage, i.e. you are moving to a new insurance company. The delay could be caused by 1) the doctor doesn't want to comply, 2) the doctor hasn't authorized the release because the staff hasn't mentioned it to him (everybody forgot it), or 3) the records are in storage and your request hasn't gotten any priority.
Here are some ideas:
Since the insurance company seems to have what you need, can you get a copy from them?
Ask to speak with a supervisor within the insurance company and request details. If that doesn't work, send your request in writing, stating that there seems to be some confusion as to your condition (spinal curvature).
Contact one or more state insurance regulatory agencies and ask for clarification as to what you are entitled to by law. If it's a national organization, contact your Congressman for help. If state, contact your state representative.
Did you make your request to the doctor in writing? That is always better than an oral request.
Does your area have a legal aid society? That agency might both be able to advise you and assist you w/o cost. Does your area have a medical society? They might provide helpful information. You might also try to befriend one of the doctor's staff and ask how your request can be resolved, what is the average time for a request like yours and finally just ask "what seems to be causing the delay?"
Patience may help, if the delay seems normal.
Last, go to Google, put in the name of the insurance company, and the word "problems" with quotes. Maybe that carrier would be problematic even if you got the coverage you are seeking.
Well, I love the way that I
Well, I love the way that I spent $7,500. on getting a medical expert opinion, and didn't even get the 1999 angiogram evaluated, nor the 2003 one.
In Canada, with the CMPA, we are funding the doctor's insurance, and they have a vast amount of money to do whatever the heck they please.
The fact is, a doctor in Canada needn't worry about being sued from what I can see. (out of the one eye)
Then sue the statutory
Then sue the statutory authority if you can? That's what people do in the UK?
Just lodge a lawsuit. See
Just lodge a lawsuit. See how long it takes for them to respond. Until you sue their ass they will just F#($* you around. Standard procedure. They must dislose your medical information, information in support of your case or informaiton upon which they rely in the process of legal discovery. If they do not - then it may not be admissible... any you win.
Good luck.
roberto
roberto glaubach,arquitect
Health care providers,hospitals,physicians are custodian and fully responsibles of the medical records.Medical records contain personal and private medical info which belongs exclusively to you and according with law "Public Record Act" you have the right to have a full access to them and to ask an immediate copy of them.So,at the first negative of being provided of said copies you have to go to the medical records office and submit a wroten requirement there.Take a notary,...just in case .They have the obligation to provide copies of your medical records immediately. When my daughter Veronica died ( to be clear she was killed there) at Huntington Memorial Hospital in Pasadena,I was strongly suspicious about everything ,I was deeply concerned abot a lot of incongruent explanations given by hiospital authorities,so I went immmediately to the record´s office,asking for records.They denied at the very beginning copies of .I stood there for hours,starting a little scandal & arguing with everybody there.Finnaly they gave to me full copies of the records,but in a disordered way. Sheets without numeration disorganized and ilegibles entries(everybody knows doctor´s way of writing.. although they have the obligation,according with the Medical Practice Act,to write in a clear and understandable letter.My witness experts after reviewing records,discovered a lot of willful amendments,alterations of entries,incongruents registrations and missing sheets onto them.The medical mafia brotherhood acted quickly over said records.Justice ?? stop dreaming dear friend.A strong and wide people´s claim must be araised,thereafter maybe,just maybe,politicians (vote chasers) and legislators (elected to represent the people) will allow to enact changes on this unfair issue.
I understand you,...a lot
Truly yours
Roberto
Buenos Aires-Argentina
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