Northfield Regional Hospital
FAC00341 · Hospital
Records phone
+1 (555) 010-2200
Records fax
+1 (555) 010-2201
Records email
him@northfield.example
Send requests by
Fax and email
Authorization
Accepts a general authorization
Typical fees
Search $15 + $0.20 per page; certification $5.50
Avg. turnaround
6 days
Status
Active
1200 Northfield Pkwy, Columbus, OH 43215
Contacts
Dana OrtizHIM Manager (555) 010-2210 dortiz@northfield.example
Release of Information deskGeneral records requests (555) 010-2200 him@northfield.example
Last verified Oct 02, 2026 · Records team
Lakeside Orthopedic Clinic
FAC00342 · Orthopedic clinic
Records phone
+1 (555) 010-3380
Records fax
+1 (555) 010-3381
Records email
records@lakeside.example
Send requests by
Fax
Authorization
Requires its own authorization form (template on file)
Typical fees
Flat $18 per request
Avg. turnaround
9 days
Status
Active
455 Lakeside Dr, Suite 200, Columbus, OH 43220
Contacts
Pat NguyenRecords Coordinator (555) 010-3385 pnguyen@lakeside.example
Last verified Sep 20, 2026 · S. Rivera
Harbor Imaging Center
FAC00343 · Imaging center
Fax failed twice this month. Call to confirm the fax number, then update it here.
Records phone
+1 (555) 010-4417
Records fax
+1 (555) 010-4418
Records email
—
Send requests by
Fax
Authorization
Accepts a general authorization
Typical fees
Reports $25; images on disc $40
Avg. turnaround
18 days
Status
Active
88 Harbor Way, Dublin, OH 43017
Contacts
Front deskAsk for the film library (555) 010-4417
Last verified Jun 14, 2026 · Records team
Pine Street Chiropractic
FAC00344 · Chiropractic
Records phone
+1 (555) 010-5520
Records fax
+1 (555) 010-5521
Records email
office@pinestreetchiro.example
Send requests by
Email
Authorization
Accepts a general authorization
Typical fees
Flat $10 per request
Avg. turnaround
4 days
Status
Active
310 Pine St, Westerville, OH 43081
Contacts
Kim AlvarezOffice Manager (555) 010-5520 office@pinestreetchiro.example
Last verified Sep 22, 2026 · Records team
Riverbend Urgent Care
FAC00345 · Urgent care
Records phone
+1 (555) 010-6630
Records fax
+1 (555) 010-6631
Records email
—
Send requests by
Portal
Authorization
Accepts a general authorization
Typical fees
Set by the portal; typically $6.50–$25
Avg. turnaround
5 days
Status
Active
2040 Riverbend Rd, Grove City, OH 43123
Contacts
No named contacts yet.
Last verified Aug 30, 2026 · Records team
St. Ambrose Medical Center
FAC00346 · Hospital
Records phone
+1 (555) 010-7100
Records fax
+1 (555) 010-7101
Records email
roi@stambrose.example
Send requests by
Email
Authorization
Accepts a general authorization
Typical fees
Per state fee schedule
Avg. turnaround
—
Status
Active
900 Ambrose Blvd, Columbus, OH 43205
Contacts
ROI deskRelease of Information (555) 010-7100 roi@stambrose.example
Last verified Oct 10, 2026 · M. Chen
Westgate Physical Therapy
FAC00347 · Physical therapy
Records phone
+1 (555) 010-8250
Records fax
+1 (555) 010-8251
Records email
frontdesk@westgatept.example
Send requests by
Email
Authorization
Accepts a general authorization
Typical fees
No charge under 50 pages
Avg. turnaround
—
Status
Acquired by St. Ambrose Physicians Group · send new requests to the successor
17 Westgate Ct, Hilliard, OH 43026
Contacts
No named contacts yet.
Last verified Jul 08, 2026 · Records team
Brightline Logistics
FAC00348 · Employer
Records phone
+1 (555) 010-7700
Records fax
—
Records email
hr-records@brightline.example
Send requests by
Email
Authorization
Accepts a general authorization
Typical fees
No charge
Avg. turnaround
6 days
Status
Active
4100 Commerce Dr, Columbus, OH 43219
Contacts
Renee FordHR Generalist (555) 010-7712 rford@brightline.example
Last verified Sep 30, 2026 · Records team
Seabreeze Family Practice
FAC00349 · Family practice
Added from an intake on Oct 12, 2026. No contact details yet, so the request to this facility is on hold.
Records phone
—
Records fax
—
Records email
—
Send requests by
—
Authorization
Unknown
Typical fees
Unknown
Avg. turnaround
—
Status
Active
No address on file
Contacts
Dr. GirardPhysician (from intake) —
Last verified Not yet verified
GOLD Life ▾ Sarah Chen ▾

Thursday, October 30

18 requests are moving.
14 are running themselves. 3 need you.

18
Requested
All records scoped
→
14
Requests out
sent to facilities
→
3
Invoices
1 to approve
→
7
Records in
checked on arrival
→
5
Verified
ready for the packet
Working in the background since Friday: 11 reminders sent · 3 replies matched · 2 invoices checked · 212 pages read · 0 of your time.

Today · needs you 3

You’re all caught up.
14 requests are moving on their own. We’ll surface anything that needs you the moment it does.
2 uploads are read and ready to confirm
CLM-00048244 and CLM-00048251 · uploaded this morning

Live activity

live
9:14Northfield Regional records received · 212 pages · auto-matched to R-48213-01
8:32Reply from Lakeside matched · question routed to you · R-48213-02
8:00Reminders sent · Harbor Imaging, Brightline · automatic
7:48Invoice read and checked · Harbor Imaging $65.00 · flagged over range
Yesterday2 records packets delivered · CLM-00048102 closed

At a glance

Claim
CLM-00048213 · Jordan Sample
Needs you
General
Claim number
CLM-00048213
Client matter number
—
Line of business
Auto
Date of loss
07/22/2026
Primary
Claims Adjuster (you)
Backup
S. Rivera
Records needed
07/22/2026 – present
Scope
All medical records excluding mental health
Claimant
Claimant name
Jordan Sample
Role
Claimant
Date of birth
01/15/1985
Gender
Female
Address
Columbus, OH (sample)
Authorizations on file
General authorization
Signed 07/30/2026 · expires 07/30/2027
Open
Lakeside Orthopedic authorization
Facility-specific form · signed 07/30/2026
Open
Add another party to this claim
Records spend on this claim: $0.00

Requests 4

RequestFacilityStateValidationNext step
Records in✓ PassedPartial: remainder requested Oct 06
Invalid✕ facility found no patient under this DOBCorrect the DOB and resend · Issue #12
Sent✓ PassedReminder Oct 09
Blocked✕ no facility fax or emailAdd contact details · Issue #13

Each request is validated before it’s sent and again when records arrive. Anything that fails opens an issue. Open a request for its full activity log.

Invoices 1

Records spend: $0.00
FacilityAmountStatusReceived
Northfield Regional Hospital$42.50Needs approvalemail · Oct 05

Records & claim packet

Northfield Regional · records, 212 pages
Oct 06 · in review
Claim packet
All accepted records, logs and summaries go to the claim system together when the claim’s requests are complete.

Activity

Every action on this claim, its requests, invoices and records
Duplicate request held: Northfield already has an open request for these dates (#17).
System · Oct 13 9:02 AM
Seabreeze Family Practice has no fax or email; request blocked (#13).
System · Oct 12 8:00 AM
Northfield Regional records received, 212 pages. Sent to Records to Review.
System · Oct 06 11:20 AM
Northfield invoice $42.50 received; over your $25 limit, routed for approval.
System · Oct 06 11:19 AM
Lakeside replied “no patient found” under this DOB; request marked Invalid (#12).
System · Oct 04 2:40 PM
Sent 4 requests for Jordan Sample (Northfield, Lakeside, Brightline, Seabreeze).
Claims Adjuster · Oct 01 9:15 AM
Created claim from uploaded intake; confirmed claimant and scope.
Claims Adjuster · Oct 01 9:10 AM

Open issues 3

#12 Invalid request data
Lakeside can’t match the patient
#13 Missing facility contact
Seabreeze Family Practice
#11 Partial records
Northfield records stop at 08/30

This is the claim-level view of the same activity trail kept on each request and in the Audit log.

Claim
CLM-00048190 · R. Example
Delayed
General
Claim number
CLM-00048190
Client matter number
M-2026-0117
Line of business
Auto
Date of loss
08/14/2026
Primary
Claims Adjuster (you)
Backup
S. Rivera
Records needed
08/14/2021 – present
Scope
Records + itemized bill
Claimant
Claimant name
R. Example
Role
Claimant
Date of birth
06/30/1979
Gender
Male
Address
Grove City, OH (sample)
Authorizations on file
General authorization
Signed 08/20/2026 · expires 08/20/2027
Open
Add another party to this claim
Records spend on this claim: $30.50

Requests 4

RequestFacilityStateValidationNext step
Delivered✓ PassedIn claim packet
Records in✓ PassedReady to review
Stalled✓ PassedNo response in 14 days · Issue #14
Verified✓ PassedAccept to add to packet

Each request is validated before it’s sent and again when records arrive. Anything that fails opens an issue. Open a request for its full activity log.

Invoices 2

Records spend: $30.50
FacilityAmountStatusReceived
Lakeside Orthopedic Clinic$18.00Paidfax · Oct 04
Riverbend Urgent Care$12.50Paidportal · Oct 05

Records & claim packet

Northfield Regional · records, 84 pages
Delivered Oct 01
Riverbend Urgent Care · 6 pages
Oct 05 · verified
Claim packet
All accepted records, logs and summaries go to the claim system together when the claim’s requests are complete.

Activity

Every action on this claim, its requests, invoices and records
No response from Harbor Imaging in 14 days; request Stalled (#14).
System · Oct 12 8:00 AM
Called Harbor Imaging; film library backed up, left voicemail.
M. Chen · Oct 09 3:30 PM
Riverbend Urgent Care records received, 6 pages. Verified.
System · Oct 05 10:12 AM
Northfield Regional records delivered to claim packet, 84 pages.
System · Oct 01 8:30 AM
Sent 4 requests for R. Example.
Claims Adjuster · Sep 28 9:02 AM

Open issues 1

#14 Stalled request
Harbor Imaging, no response in 14 days

This is the claim-level view of the same activity trail kept on each request and in the Audit log.

Claim
CLM-00048177 · T. Demo
Needs you
General
Claim number
CLM-00048177
Client matter number
—
Line of business
Home
Date of loss
09/01/2026
Primary
S. Rivera
Backup
Claims Adjuster (you)
Records needed
09/01/2026 – present
Scope
Imaging reports
Claimant
Claimant name
T. Demo
Role
Claimant
Date of birth
04/09/1971
Gender
Female
Address
Dublin, OH (sample)
Authorizations on file
General authorization
Signed 09/05/2026 · expires 09/05/2027
Open
Add another party to this claim
Records spend on this claim: $65.00

Requests 2

RequestFacilityStateValidationNext step
Records in✕ pages 36–38 belong to another patientReport wrong-patient pages · Issue #15
Ready✓ PassedSends tomorrow 8:00 AM

Each request is validated before it’s sent and again when records arrive. Anything that fails opens an issue. Open a request for its full activity log.

Invoices 1

Records spend: $65.00
FacilityAmountStatusReceived
Harbor Imaging Center$65.00Needs approvalemail · Oct 02

Records & claim packet

Harbor Imaging · reports, 38 pages
Oct 02 · 3 pages held back
Claim packet
All accepted records, logs and summaries go to the claim system together when the claim’s requests are complete.

Activity

Every action on this claim, its requests, invoices and records
Reviewed wrong-patient pages 36–38; held back, incident open (#15).
Privacy Officer · Oct 02 4:15 PM
Harbor Imaging reports received, 38 pages; 3 pages flagged wrong-patient.
System · Oct 02 9:40 AM
Sent request to Harbor Imaging.
S. Rivera · Sep 24 8:00 AM

Open issues 1

#15 Wrong-patient records
Harbor Imaging pages 36–38

This is the claim-level view of the same activity trail kept on each request and in the Audit log.

Claim
CLM-00048102 · K. Fixture
Closed
General
Claim number
CLM-00048102
Client matter number
—
Line of business
Auto
Date of loss
06/02/2026
Primary
Claims Adjuster (you)
Backup
—
Records needed
06/02/2026 – present
Scope
All medical records
Claimant
Claimant name
K. Fixture
Role
Claimant
Date of birth
02/11/1990
Gender
Male
Address
Columbus, OH (sample)
Authorizations on file
General authorization
Signed 06/05/2026 · expired use not needed
Open
Add another party to this claim
Records spend on this claim: $0.00

Requests 2

RequestFacilityStateValidationNext step
Closed✓ PassedDelivered Sep 19
Closed✓ PassedDelivered Sep 26

Each request is validated before it’s sent and again when records arrive. Anything that fails opens an issue. Open a request for its full activity log.

Invoices 0

Records spend: $0.00
No invoices on this claim yet.

Records & claim packet

Claim packet · 2 deliveries
Sent to claim system Sep 30
Claim packet
All accepted records, logs and summaries go to the claim system together when the claim’s requests are complete.

Activity

Every action on this claim, its requests, invoices and records
Claim packet delivered to claim system; claim closed.
System · Sep 30 4:00 PM
Brightline Logistics records delivered.
System · Sep 26 11:00 AM
Northfield Regional records delivered.
System · Sep 19 2:00 PM

Open issues 0

No open issues.

This is the claim-level view of the same activity trail kept on each request and in the Audit log.

New Request

Drop in the documents. We fill in the request.

Four quick steps. Nothing is sent until you preview it.

  1. 1Upload
  2. 2Confirm details
  3. 3Facilities
  4. 4Preview & send

Ready for your review

Uploaded earlier and already read. Confirm when you’re ready.
CLM-00048244
intake-48244.pdf + authorization
Read · 5 of 5 key fields
CLM-00048251
discovery-notes-48251.docx
Read · 4 of 5 key fields, 1 to check
CLM-00048263
provider-list-48263.xlsx · 6 providers listed
Read · 6 requests ready to create
CLM-00048270
deposition-transcript-48270.pdf · 84 pages
Read · 4 providers found in testimony
intake-discovery.pdf · 3 ppgeneral-authorization.pdffacility-auth-lakeside.pdf

Claims intake · discovery notes · page 1 of 3

Claim: CLM-00048213   Line: Auto   Date of incident: 07/22/2026

Claimant: Jordan Sample   Sex: F   DOB: 01/15/1985

Reported 07/23/2026 · Interview 08/10/2026 · Follow-up 10/15/2026

Treatment since incident: ER at Northfield Regional Hospital; orthopedic follow-up at Lakeside Orthopedic Clinic.

Prior treatment (5 yrs): family practice, Dr. Girard, Seabreeze Family Practice.

Employer: Brightline Logistics

Located fieldFacility found Zoom · full screen

Key details

Claimant name97%
Date of birth62%
Below your 90% threshold. Several dates on page 1 look similar.
Gender91%
Claim number99%
Date of loss / incident95%

What to request is chosen for each facility on the next step.

More fields (5)
Signed general authorization found. Lakeside’s own authorization also detected.

Facilities found in the documents

Matched against your custodian directory
Possible duplicate: Northfield Regional already has an open request for Jordan Sample covering these dates (R-48213-01, sent Oct 01).
View R-48213-01Merge into itSend anyway
Northfield Regional Hospital
Health Information Mgmt · fax and email on file
98% match
Request
Lakeside Orthopedic Clinic
Records dept · fax on file · uses its own authorization (attached)
96% match
Request
Brightline Logistics
HR / payroll · email on file
99% match
Request
Seabreeze Family Practice (Dr. Girard)
No contact found in directory
No match
Request
Not in the Directory — add it now
Is it one of these? Close matches already in the Directory:
Seabreeze Family Practice · no record found
Seaside Family Medicine · Dublin, OHUse this
Add “Seabreeze Family Practice” as a new facility

Only the essentials are required to send. The rest can be filled in later; the facility is saved to the Directory and linked to this request automatically.

Saved for everyone · appears in the Directory
Auto-send when the directory match is 95% or higher
Off: you review every request before it’s sent. Your organization sets the threshold once match accuracy is proven.

Letters that will go out

Template: Medical records request · sends by fax

RE: Request #R-48213-01 · Claimant: Jordan Sample · DOB 01/15/1985 · Claim CLM-00048213

To the Custodian of Records, Northfield Regional Hospital:

Please provide copies of any and all medical and billing records for dates of service 07/22/2026 to present. A signed authorization is enclosed.

Please reply with the fee and expected release date, or a certificate of no records if none exist. Reference request #R-48213-01 on all replies and invoices.

[Carrier] Records Retrieval · records@[carrier].example · Fax [(000) 000-0000]

Template: Medical records request + facility authorization · sends by fax

RE: Request #R-48213-02 · Claimant: Jordan Sample · DOB 01/15/1985 · Claim CLM-00048213

To the Custodian of Records, Lakeside Orthopedic Clinic:

Please provide copies of any and all medical and billing records for dates of service 07/22/2026 to present. A signed authorization is enclosed.

Please reply with the fee and expected release date, or a certificate of no records if none exist. Reference request #R-48213-02 on all replies and invoices.

[Carrier] Records Retrieval · records@[carrier].example · Fax [(000) 000-0000]

Template: Employer wage & attendance request · sends by email

RE: Request #R-48213-03 · Claimant: Jordan Sample · DOB 01/15/1985 · Claim CLM-00048213

To Human Resources / Payroll, Brightline Logistics:

Please provide wage and attendance records from 07/22/2025 to present. A signed authorization is enclosed.

Please reply with the fee and expected release date, or a certificate of no records if none exist. Reference request #R-48213-03 on all replies and invoices.

[Carrier] Records Retrieval · records@[carrier].example · Fax [(000) 000-0000]

What happens next

Today3 requests sent, with the authorization attached.
Every 3 business daysAutomatic reminders to each facility until it confirms.
After 14 days quietIt moves to “Delayed” and you’re alerted, with the facility’s phone number.
When records arriveChecked against this request, then waiting in Records to Review.

1 facility skipped: Seabreeze Family Practice has no contact yet. Add it any time from the claim folder.

Manual entry· no document uploaded

Key details

What to request is chosen for each facility on the next step.

Signed authorization

Attach the signed authorizationRequired before any request is sent.
You can save a draft now. Sending stays off until an authorization is attached.
Next you’ll add facilities and preview the letters.
⋮

Invoice overview

From
Amount
$42.50
Received
Oct 05 · email
Claim / request
CLM-00048133 · R-48133-01
Approver
Claims Adjuster (limit $500)
Payment status
Not yet paid · facility is holding records until paid
invoice-oct05.pdfPage 1 of 1− 100% + · Full screen
INVOICE
Northfield Regional Hospital
Due on receipt
Re: CLM-00048133
Search & retrieval fee$15.00
Copies, 110 pages × $0.20$22.00
Certification$5.50
Amount due$42.50

Sample invoice · no PHI

Approve this invoice

$42.50 goes to AP in the weekly batch file. Records release once the facility is paid.

Problem with this invoice

Invoice overview

From
Unknown sender
Amount
$62.50
Received
Oct 06 · invoices inbox
Claim / request
Not linked yet
Approver
Claims Adjuster (limit $500)
Payment status
Not yet paid · link the invoice to a request first
invoice-oct06.pdfPage 1 of 1− 100% + · Full screen
INVOICE
Unknown sender
Due on receipt
Re: (no claim reference)
Copies, 125 pages$62.50
Amount due$62.50

Sample invoice · no PHI

Approve this invoice

$62.50 goes to AP in the weekly batch file. Records release once the facility is paid.

Problem with this invoice

Invoice overview

From
Amount
$65.00
Received
Oct 02 · email
Claim / request
CLM-00048177 · R-48177-02
Approver
Claims Adjuster (limit $500)
Payment status
Not yet paid · awaiting approval
invoice-oct02.pdfPage 1 of 1− 100% + · Full screen
INVOICE
Harbor Imaging Center
Due on receipt
Re: CLM-00048177
Imaging reports$25.00
Images on disc$40.00
Amount due$65.00

Sample invoice · no PHI

Approve this invoice

$65.00 goes to AP in the weekly batch file. Records release once the facility is paid.

Problem with this invoice

Invoice overview

From
Amount
$18.00
Received
Oct 04 · fax
Claim / request
CLM-00048190 · R-48190-02
Approver
Claims Adjuster (limit $500)
Payment status
Paid Oct 08 · AP confirmation #AP-20417 · receipt on file
invoice-oct04.pdfPage 1 of 1− 100% + · Full screen
INVOICE
Lakeside Orthopedic Clinic
Due on receipt
Re: CLM-00048190
Records fee$18.00
Amount due$18.00

Sample invoice · no PHI

Approve this invoice

$18.00 goes to AP in the weekly batch file. Records release once the facility is paid.

Problem with this invoice

Upload invoice

For an invoice a facility sent straight to you instead of the shared inbox. It joins the queue and the Claim ID is read like any other invoice.

Recorded as Added manually by Claims Adjuster on the invoice and in the request activity log.
⋮

Delivery overview

Facility
Claim
CLM-00048213
Request
R-48213-01
Claimant
Jordan Sample
Date of birth
01/15/1985
Received
today · email · 212 pages
Fee
None expected
Still outstanding
08/31/2026 – present
AI summaryPlanned
  • Emergency visit 07/22/2026 after the reported incident; discharged the same day.
  • Two orthopedic follow-ups (07/29, 08/12) and a referral to physical therapy.
  • Eight physical therapy sessions, 08/01 – 08/30.
  • Itemized bill included; charges total $4,180 (sample).

Disclaimer: AI-generated. Verify against the source pages before relying on it.

northfield-records-48213.pdfPage 1 of 212− 100% +  ·  Find in document  ·  Full screen
1
2
3
4
5
Northfield Regional Hospital
Emergency Department Record
Copy · page 1
Patient: Jordan SampleDOB: 01/15/1985MRN: [sample]Date of service: 07/22/2026

Sample document · no PHI

Accept this delivery

The records join the claim packet for CLM-00048213 and the people below are notified.

Problem with this delivery

Delivery overview

Facility
Claim
CLM-00048177
Request
R-48177-02
Claimant
T. Demo
Date of birth
04/09/1971
Received
Oct 02 · fax · 38 pages
Fee
$65.00 · awaiting approval
Still outstanding
None
AI summaryPlanned
  • Two imaging reports (pages 1–35) for the requested patient.
  • Pages 36–38 excluded: patient mismatch.

Disclaimer: AI-generated. Verify against the source pages before relying on it.

harbor-imaging-48177.pdfPage 1 of 38− 100% +  ·  Find in document  ·  Full screen
1
2
3
4
5
Harbor Imaging Center
Radiology Report
Copy · page 1
Patient: T. DemoDOB: 04/09/1971MRN: [sample]Date of service: 09/03/2026

Sample document · no PHI

Accept this delivery

The records join the claim packet for CLM-00048177 and the people below are notified.

Problem with this delivery

Wrong-patient pages stay held back. Your privacy officer is notified and the incident process starts.

Delivery overview

Facility
Claim
CLM-00048190
Request
R-48190-04
Claimant
R. Example
Date of birth
06/30/1979
Received
Oct 05 · portal · 6 pages
Fee
$12.50 · paid through portal
Still outstanding
None
AI summaryPlanned
  • Urgent care visit 09/02/2026; X-ray of the left wrist; follow-up advised.

Disclaimer: AI-generated. Verify against the source pages before relying on it.

riverbend-48190.pdfPage 1 of 6− 100% +  ·  Find in document  ·  Full screen
1
2
3
4
5
Riverbend Urgent Care
Urgent Care Visit
Copy · page 1
Patient: R. ExampleDOB: 06/30/1979MRN: [sample]Date of service: 09/02/2026

Sample document · no PHI

Accept this delivery

The records join the claim packet for CLM-00048190 and the people below are notified.

Problem with this delivery

Delivery overview

Facility
Claim
CLM-00048151
Request
R-48151-01
Claimant
M. Placeholder
Date of birth
11/21/1966
Received
Oct 02 · fax · 24 pages
Fee
$10.00 · paid
Still outstanding
None
AI summaryPlanned
  • Initial evaluation 05/03/2026; 14 treatment visits through 09/26/2026.
  • Discharge note included.

Disclaimer: AI-generated. Verify against the source pages before relying on it.

pine-street-48151.pdfPage 1 of 24− 100% +  ·  Find in document  ·  Full screen
1
2
3
4
5
Pine Street Chiropractic
Chiropractic Treatment Notes
Copy · page 1
Patient: M. PlaceholderDOB: 11/21/1966MRN: [sample]Date of service: 05/03/2026

Sample document · no PHI

Accept this delivery

The records join the claim packet for CLM-00048151 and the people below are notified.

Problem with this delivery

Upload records

For records a facility sent straight to you, by email or on paper. They join the review queue and are checked like any other delivery.

Recorded as Added manually by Claims Adjuster on the delivery and in the request activity log.
Issue
#12 Lakeside can’t match the patient
AssigneesClaims Adjuster (you) Add assignee
Due 2d
Tags:Invalid request data
Linked to
· · Lakeside Orthopedic Clinic
System opened this issue
Opened automatically Oct 04 when the facility’s reply was read as “no patient found.”
Closes automatically when the request is corrected and resent.
Add a comment
B   I   S   U  |  ⛓   ❝   •   1.  |  ↶ ↷  |  📎 ATTACH FILE
Issue
#13 Seabreeze Family Practice has no fax or email
AssigneesM. Chen (Processor) Add assignee
Due 1d
Tags:Missing facility contact
Linked to
· · Seabreeze Family Practice
System opened this issue
Opened automatically Oct 12 when validation found no usable contact.
Closes automatically when a fax or email is added in the Directory.
Add a comment
B   I   S   U  |  ⛓   ❝   •   1.  |  ↶ ↷  |  📎 ATTACH FILE
Issue
#14 No response from Harbor Imaging in 14 days
AssigneesM. Chen (Processor)Claims Adjuster (you) Add assignee
Due today
Tags:Stalled request
Linked to
· · Harbor Imaging Center
System opened this issue
Opened automatically Oct 12 under your 14-day rule. Two faxes and two emails were sent.
Closes automatically when the facility responds.
Add a comment
B   I   S   U  |  ⛓   ❝   •   1.  |  ↶ ↷  |  📎 ATTACH FILE
Issue
#15 Wrong-patient pages in a Harbor Imaging delivery
AssigneesS. Rivera (Adjuster)Privacy Officer Add assignee
Due 1d
Tags:Wrong-patient records
Linked to
· · Harbor Imaging Center
System opened this issue
Opened automatically Oct 02. Pages 36–38 are held back and not visible to anyone.
Closes when the facility confirms and the privacy officer signs off.
Add a comment
B   I   S   U  |  ⛓   ❝   •   1.  |  ↶ ↷  |  📎 ATTACH FILE
Issue
#16 Invoice for $62.50 has no Claim ID
AssigneesAP Team Add assignee
Due 3d
Tags:Unmatched invoice
Linked to
— · — · Unknown sender
System opened this issue
Opened automatically Oct 06 when no claim reference could be read.
Closes automatically when the invoice is linked to a request.
Add a comment
B   I   S   U  |  ⛓   ❝   •   1.  |  ↶ ↷  |  📎 ATTACH FILE
Issue
#17 Duplicate request held: Northfield already has an open request
AssigneesM. Chen (Processor) Add assignee
Due 1d
Tags:Duplicate request
Linked to
· · Northfield Regional Hospital
System opened this issue
Opened automatically Oct 13 when a new intake asked Northfield for the same claimant and dates already requested on R-48213-01.
Closes when the new request is merged into R-48213-01 or confirmed as different dates.
Add a comment
B   I   S   U  |  ⛓   ❝   •   1.  |  ↶ ↷  |  📎 ATTACH FILE
Issue
#18 Westgate Physical Therapy was acquired by St. Ambrose Physicians Group
AssigneesRecords team Add assignee
Due 3d
Tags:Facility acquired
Linked to
— · — · Westgate Physical Therapy
System opened this issue
Opened automatically Oct 14 when Westgate’s reply said its records are now held by St. Ambrose Physicians Group.
Closes when the Directory points Westgate to its successor and open requests are re-routed.
Add a comment
B   I   S   U  |  ⛓   ❝   •   1.  |  ↶ ↷  |  📎 ATTACH FILE
Issue
#19 Authorization on CLM-00048177 expires in 7 days
AssigneesS. Rivera (Adjuster) Add assignee
Due 7d
Tags:Expiring authorization
Linked to
· · St. Ambrose Medical Center
System opened this issue
Opened automatically Oct 30 because the signed authorization expires before St. Ambrose’s usual turnaround.
Closes automatically when a new signed authorization is uploaded to the claim.
Add a comment
B   I   S   U  |  ⛓   ❝   •   1.  |  ↶ ↷  |  📎 ATTACH FILE
Unmatched · medrecords@stambrose.example
EM
medrecords@stambrose.example · Email · received Oct 06 4:15 pm
Re: records request for patient J. Sampel. Please confirm the date of birth before we release.
Couldn’t match
Suggested matches
R-48213-02 · Lakeside Orthopedic · Jordan Sample
Same DOB on the request; name spelled “Sampel”; sender domain differs from Lakeside
87% match
R-48177-03 · St. Ambrose · T. Demo
Sender is St. Ambrose; no name or DOB match
41% match
None of these?Search requests·Mark as not ours
Log a call
Replies go from the shared records mailbox or fax line and are logged on the matched request.
EM
Pat Nguyen · records@lakeside.example · Email · received Oct 07 9:20 am
We have a Jordan Sample with DOB 01/16/1985, not 01/15. Should we release those records?
Facility has a question R-48213-02 · CLM-00048213
Waiting on your answer · linked to Issue #12
PH
Claims Adjuster · Phone call · sent Oct 07 11:05 am
Called Pat Nguyen. Confirmed they received our request; checking the DOB on our intake.
Call logged R-48213-02 · CLM-00048213
Logged on R-48213-02
FX
Lakeside records fax · Fax · received Oct 04 2:40 pm
No records found under the DOB provided for Jordan Sample.
No patient found R-48213-02 · CLM-00048213
Request marked Invalid · Issue #12 opened and assigned to you
EM
Pat Nguyen · records@lakeside.example · Email · received Sep 30 10:12 am
Records for R. Example attached (18 pages). Invoice to follow.
Records attached R-48190-02 · CLM-00048190
18 pages sent to Records to Review
Log a call
Replies go from the shared records mailbox or fax line and are logged on the matched request.
EM
him@northfield.example · Email · received Oct 06 8:30 am
Records attached, 212 pages. Remaining dates to follow.
Records attached R-48213-01 · CLM-00048213
212 pages sent to Records to Review · remainder requested automatically
EM
billing@northfield.example · Email · received Oct 05 1:10 pm
Invoice attached for records request R-48133-01.
Fee due R-48133-01 · CLM-00048133
$42.50 sent to Invoices for approval
AI
AI call · Planned · AI call · sent Oct 03 10:02 am
Records desk confirmed the request was received. Estimated release in 5–7 business days.
Call logged R-48213-01 · CLM-00048213
Request moved to Acknowledged · transcript saved
FX
Records fax line · Fax · sent Oct 01 9:15 am
Records request R-48213-01 with signed authorization (4 pages).
Sent R-48213-01 · CLM-00048213
Delivered on first attempt
Log a call
Replies go from the shared records mailbox or fax line and are logged on the matched request.
SY
Follow-up rule · System · sent Oct 12 8:00 am
No response to two faxes and two emails in 14 days.
No response R-48190-03 · CLM-00048190
Request marked Stalled · Issue #14 opened for M. Chen
PH
M. Chen · Phone call · sent Oct 09 3:30 pm
Called (555) 010-4417. Front desk says the film library is backed up; left a voicemail.
Call logged R-48190-03 · CLM-00048190
Logged on R-48190-03
FX
Records fax line · Fax · sent Sep 28 9:02 am
Records request R-48190-03 with signed authorization.
Sent R-48190-03 · CLM-00048190
Fax line busy twice; sent by email instead
Log a call
Replies go from the shared records mailbox or fax line and are logged on the matched request.
EM
Renee Ford · hr-records@brightline.example · Email · received Oct 02 11:20 am
Received, we’ll send the payroll records by Friday.
Request received R-48213-03 · CLM-00048213
Request moved to Acknowledged
Log a call
Replies go from the shared records mailbox or fax line and are logged on the matched request.

Lookup

Find anything by anything.

Search by last name, date of birth, claim or matter number, request number or facility. Results are grouped into claimants, claims and requests.

Show
Try
More filters

9 results for Last name: Sample

Claimants 2

JS
Jordan Sample
DOB 01/15/1985 · F · 1 claim · 3 requests
RS
Riley Sample
DOB 03/02/1990 · M · 1 claim · 2 requests
Same last name, different DOB

Claims 2

CLM-00048213
Jordan Sample · Auto team · 3 requests
Needs you
CLM-00047988
Riley Sample · Home team · 2 requests
Complete

Requests 5

RequestFacilityClaim #ClaimantSentStatus
Northfield Regional HospitalCLM-00048213Jordan SampleOct 01Records in, verifying
Lakeside Orthopedic ClinicCLM-00048213Jordan SampleOct 01Needs you: DOB mismatch
Brightline LogisticsCLM-00048213Jordan SampleOct 01On track
St. Ambrose Medical CenterCLM-00047988Riley SampleAug 04Delivered
Westgate Physical TherapyCLM-00047988Riley SampleAug 04Delivered

6 results for DOB: 01/15/1985

Claimants 2

JS
Jordan Sample
DOB 01/15/1985 · F · 1 claim · 3 requests
JS
Jordan Sampel
DOB 01/15/1985 · F · Name read from a facility reply
Possible duplicate: same DOB, spelling differs

Claims 1

CLM-00048213
Jordan Sample · Auto team · 3 requests
Needs you

Requests 3

RequestFacilityClaim #ClaimantSentStatus
Northfield Regional HospitalCLM-00048213Jordan SampleOct 01Records in, verifying
Lakeside Orthopedic ClinicCLM-00048213Jordan SampleOct 01Needs you: DOB mismatch
Brightline LogisticsCLM-00048213Jordan SampleOct 01On track

6 results for Claim #: CLM-00048190

Claimants 1

RE
R. Example
DOB 06/30/1979 · M · 1 claim · 4 requests

Claims 1

CLM-00048190
R. Example · Auto team · 4 requests · Matter M-2026-0117
Delayed

Requests 4

RequestFacilityClaim #ClaimantSentStatus
Northfield Regional HospitalCLM-00048190R. ExampleSep 28Records verified
Lakeside Orthopedic ClinicCLM-00048190R. ExampleSep 28Records in, fee auto-approved
Harbor Imaging CenterCLM-00048190R. ExampleSep 28Delayed: no response in 14 days
Riverbend Urgent CareCLM-00048190R. ExampleSep 28Records verified

6 results for Facility: Lakeside Orthopedic

This search matched a facility. 

Claimants 2

JS
Jordan Sample
DOB 01/15/1985 · F · Request to Lakeside: needs you
RE
R. Example
DOB 06/30/1979 · M · Request to Lakeside: records in

Claims 2

CLM-00048213
Jordan Sample · Auto team · 1 of 3 requests at Lakeside
Needs you
CLM-00048190
R. Example · Auto team · 1 of 4 requests at Lakeside
Delayed

Requests 2

RequestFacilityClaim #ClaimantSentStatus
Lakeside Orthopedic ClinicCLM-00048213Jordan SampleOct 01Needs you: DOB mismatch
Lakeside Orthopedic ClinicCLM-00048190R. ExampleSep 28Records in, fee auto-approved

Tips: dates work as 01/15/1985 or 1/15/85. Partial names work, and close spellings are shown so duplicates are easy to spot. Searching “Anything” checks every field at once.

Northfield Regional Hospital
FAC00341
Facility name *
Northfield Regional Hospital
Facility ID
FAC00341
Records phone *
+1 (555) 010-2200
Records fax
+1 (555) 010-2201
Records email
him@northfield.example
Send requests by
Records released by
Facility authorization form
Not required · general authorization accepted
Address
1200 Northfield Pkwy, Columbus, OH 43215
State
Time zone
Records department hours
Mon–Fri, 8:00–4:30
Groups
HospitalRecords vendor portal
▾
Facility status
Active
Authorization
Accepts a general authorization
Typical fees
Search $15 + $0.20 per page; certification $5.50
Last verified
Oct 02, 2026 · Records team
Records are released through the hospital’s records vendor portal. Requests still go to the hospital.

Contacts at this facility

DO
Dana Ortiz
HIM Manager
(555) 010-2210dortiz@northfield.example
RO
Release of Information desk
General records requests
(555) 010-2200him@northfield.example
Add a contact

Activity at this facility

12Requests, all time
3Open now
6 daysAvg. time to records
TodayLast activity
Claim #ClaimantRequestSentStatusDays open
J. SampleR-48213-01Oct 01Records in, verifying5
A. TestcaseR-48133-01Sep 19Fee awaiting approval16
New intakeR-48244-01TodaySent0
K. FixtureR-48102-02Sep 11Delivered8

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

Lakeside Orthopedic Clinic
FAC00342
Facility name *
Lakeside Orthopedic Clinic
Facility ID
FAC00342
Records phone *
+1 (555) 010-3380
Records fax
+1 (555) 010-3381
Records email
records@lakeside.example
Send requests by
Records released by
Facility authorization form
Facility-specific form on file · open template
Address
455 Lakeside Dr, Suite 200, Columbus, OH 43220
State
Time zone
Records department hours
Mon–Thu, 9:00–4:00
Groups
ClinicOwn authorization form
▾
Facility status
Active
Authorization
Requires its own authorization form (template on file)
Typical fees
Flat $18 per request
Last verified
Sep 20, 2026 · S. Rivera

Contacts at this facility

PN
Pat Nguyen
Records Coordinator
(555) 010-3385pnguyen@lakeside.example
Add a contact

Activity at this facility

5Requests, all time
2Open now
9 daysAvg. time to records
Oct 07Last activity
Claim #ClaimantRequestSentStatusDays open
J. SampleR-48213-02Oct 01Needs you: DOB mismatch11
R. ExampleR-48190-02Sep 28Records in, fee auto-approved7

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

Harbor Imaging Center
FAC00343
Fax failed twice this month. Call to confirm the fax number, then update it here.
Facility name *
Harbor Imaging Center
Facility ID
FAC00343
Records phone *
+1 (555) 010-4417
Records fax
+1 (555) 010-4418
Records email
Send requests by
Records released by
Facility authorization form
Not required · general authorization accepted
Address
88 Harbor Way, Dublin, OH 43017
State
Time zone
Records department hours
Mon–Fri, 7:30–6:00
Groups
ImagingNeeds update
▾
Facility status
Active
Authorization
Accepts a general authorization
Typical fees
Reports $25; images on disc $40
Last verified
Jun 14, 2026 · Records team

Contacts at this facility

FD
Front desk
Ask for the film library
(555) 010-4417—
Add a contact

Activity at this facility

4Requests, all time
2Open now
18 daysAvg. time to records
Oct 06Last activity
Claim #ClaimantRequestSentStatusDays open
R. ExampleR-48190-03Sep 28Delayed: no response in 14 days14
T. DemoR-48177-02Sep 24Wrong-patient pages flagged12

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

Pine Street Chiropractic
FAC00344
Facility name *
Pine Street Chiropractic
Facility ID
FAC00344
Records phone *
+1 (555) 010-5520
Records fax
+1 (555) 010-5521
Records email
office@pinestreetchiro.example
Send requests by
Records released by
Facility authorization form
Not required · general authorization accepted
Address
310 Pine St, Westerville, OH 43081
State
Time zone
Records department hours
Mon–Fri, 9:00–5:00
Groups
Chiropractic
▾
Facility status
Active
Authorization
Accepts a general authorization
Typical fees
Flat $10 per request
Last verified
Sep 22, 2026 · Records team

Contacts at this facility

KA
Kim Alvarez
Office Manager
(555) 010-5520office@pinestreetchiro.example
Add a contact

Activity at this facility

2Requests, all time
0Open now
4 daysAvg. time to records
Oct 02Last activity
Claim #ClaimantRequestSentStatusDays open
M. PlaceholderR-48151-01Sep 22Delivered, paid10

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

Riverbend Urgent Care
FAC00345
Facility name *
Riverbend Urgent Care
Facility ID
FAC00345
Records phone *
+1 (555) 010-6630
Records fax
+1 (555) 010-6631
Records email
Send requests by
Records released by
Facility authorization form
Not required · general authorization accepted
Address
2040 Riverbend Rd, Grove City, OH 43123
State
Time zone
Records department hours
Daily, 8:00–8:00
Groups
Urgent careRecords vendor portal
▾
Facility status
Active
Authorization
Accepts a general authorization
Typical fees
Set by the portal; typically $6.50–$25
Last verified
Aug 30, 2026 · Records team
Records are released through a records vendor portal after payment.

Contacts at this facility

No named contacts yet.
Add a contact

Activity at this facility

3Requests, all time
1Open now
5 daysAvg. time to records
Oct 05Last activity
Claim #ClaimantRequestSentStatusDays open
R. ExampleR-48190-04Sep 28Records verified7

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

St. Ambrose Medical Center
FAC00346
Facility name *
St. Ambrose Medical Center
Facility ID
FAC00346
Records phone *
+1 (555) 010-7100
Records fax
+1 (555) 010-7101
Records email
roi@stambrose.example
Send requests by
Records released by
Facility authorization form
Not required · general authorization accepted
Address
900 Ambrose Blvd, Columbus, OH 43205
State
Time zone
Records department hours
Mon–Fri, 8:00–4:00
Groups
Hospital
▾
Facility status
Active
Authorization
Accepts a general authorization
Typical fees
Per state fee schedule
Last verified
Oct 10, 2026 · M. Chen

Contacts at this facility

RD
ROI desk
Release of Information
(555) 010-7100roi@stambrose.example
Add a contact

Activity at this facility

1Requests, all time
1Open now
—Avg. time to records
TodayLast activity
Claim #ClaimantRequestSentStatusDays open
New intakeR-48251-01TodaySent0

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

Westgate Physical Therapy
FAC00347
Facility name *
Westgate Physical Therapy
Facility ID
FAC00347
Records phone *
+1 (555) 010-8250
Records fax
+1 (555) 010-8251
Records email
frontdesk@westgatept.example
Send requests by
Records released by
Facility authorization form
Not required · general authorization accepted
Address
17 Westgate Ct, Hilliard, OH 43026
State
Time zone
Records department hours
Mon–Fri, 7:00–7:00
Groups
Physical therapyAcquired
▾
Facility status
Acquired by St. Ambrose Physicians Group · send new requests to the successor
Authorization
Accepts a general authorization
Typical fees
No charge under 50 pages
Last verified
Jul 08, 2026 · Records team

Contacts at this facility

No named contacts yet.
Add a contact

Activity at this facility

0Requests, all time
0Open now
—Avg. time to records
—Last activity
No requests have gone to this facility yet.

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

Brightline Logistics
FAC00348
Facility name *
Brightline Logistics
Facility ID
FAC00348
Records phone *
+1 (555) 010-7700
Records fax
Records email
hr-records@brightline.example
Send requests by
Records released by
Facility authorization form
Not required · general authorization accepted
Address
4100 Commerce Dr, Columbus, OH 43219
State
Time zone
Records department hours
Mon–Fri, 8:00–5:00
Groups
Employer
▾
Facility status
Active
Authorization
Accepts a general authorization
Typical fees
No charge
Last verified
Sep 30, 2026 · Records team

Contacts at this facility

RF
Renee Ford
HR Generalist
(555) 010-7712rford@brightline.example
Add a contact

Activity at this facility

3Requests, all time
1Open now
6 daysAvg. time to records
Oct 06Last activity
Claim #ClaimantRequestSentStatusDays open
J. SampleR-48213-03Oct 01On track, reminder sent11
K. FixtureR-48102-05Sep 11Delivered6

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

Seabreeze Family Practice
FAC00349
Added from an intake on Oct 12, 2026. No contact details yet, so the request to this facility is on hold.
Facility name *
Seabreeze Family Practice
Facility ID
FAC00349
Records phone *
Records fax
Records email
Send requests by
Records released by
Facility authorization form
Address
State
Time zone
Records department hours
Groups
Family practiceIncomplete
▾
Facility status
Active
Authorization
Typical fees
Last verified
Not yet verified

Contacts at this facility

DG
Dr. Girard
Physician (from intake)
——
Add a contact

Activity at this facility

1Requests, all time
1Open now
—Avg. time to records
Oct 12Last activity
Claim #ClaimantRequestSentStatusDays open
J. Sample—Not sentOn hold: missing contact details—

Every request to this facility across all claims, with its status. Spot slow facilities, and fix contact details once for everyone.

Reports

The numbers that prove it is working.

Avg. turnaround9.0 dayssent → records in, this month
90th percentile21 days9 of 10 arrive within
First-pass success68%no issue on first try
Faster vs. May53% down from 19.0 days

Turnaround time by month

Average days from request sent to records received
May19 days8 requests
Jun16 days11 requests
Jul14 days14 requests
Aug12 days16 requests
Sep11 days18 requests
Oct9 days19 requests

Trending down as the custodian directory and follow-up rules mature.

Where requests leak 25

Issues opened this month, by type.

No response from facility9
Invalid or expired authorization4
Wrong-patient pages2
Wrong records sent3
Partial records5
Unmatched invoice2

Follow-up effort

How many reminders each request needed. Work the automation removes from your team.

No reminder needed6
1 reminder5
2 reminders4
3+ reminders3
Escalated to a call4
Suggested subpoena1
Open requests19across 6 claims
Needs you3over a limit, stalled or invalid
Over 30 days3oldest is 32 days
Open issues82 assigned to you

Aging

Open requests by days outstanding
0–7 days7
8–14 days5
15–30 days4
Over 30 days3

Anything over 30 days is a candidate for a call or a subpoena. The escalation ladder acts on these automatically.

Where requests sit now

Count at each stage of the lifecycle.

Sent18
Acknowledged14
Invoice & payment9
Records in7
Verified5
Delivered4

Workload by person

Open requests and issues per user, to balance the load.

Claims Adjuster (you)6 open2 issues
S. Rivera5 open1 issue
M. Chen (Processor)7 open3 issues
AP Team3 invoices1 unmatched
Fastest custodianPine Street4-day average
Slowest custodianHarbor Imaging18-day average, subpoena candidate
Need a contact update2Harbor Imaging, Seabreeze
Acquired / closed1Westgate → St. Ambrose

Facility scorecard

Ranked by average turnaround
FacilityAvg. turnaroundResponse rateFollow-up %IssuesRating
4 days
0%0Preferred
5 days
0%0Preferred
6 days
33%0Preferred
6 days
25%1Preferred
9 days
40%1Watch
—
—0No history
18 days
100%2Watch

Built from every request across all claims. Use it to set alert thresholds in the Directory and to decide when to go straight to a subpoena.

Awaiting approval$107.502 invoices · plus 1 in manual review
Approved, at AP$18.001 invoice
Paid$10.001 invoice
Saved by fee checks$40.00over-limit charges caught

Spend by claim

Claim #Matter #ClaimantRequestsAwaitingPaidTotal
—T. Demo3$65.00$0.00$65.00
M-2026-0098A. Testcase2$42.50$0.00$42.50
M-2026-0117R. Example4$0.00$18.00$18.00
—M. Placeholder2$0.00$10.00$10.00
—K. Fixture5$0.00$0.00$0.00
—J. Sample3$0.00$0.00$0.00
Total$107.50$28.00$135.50

Fee variance

Invoices checked against the state fee cap and expected range.

FacilityAmountFindingAction
Harbor Imaging Center$65.00$40.00 images not requestedRejected, corrected invoice requested
Unknown sender$62.50$0.50/page over expectedOn hold, needs Claim ID
Northfield Regional$42.50Within limitsApproved

Cost per claim & per page

Trended, to test the platform-fee model.

Avg. cost per claim$22.58
Avg. cost per page$0.19
Refunds requested$65.001 open
Refunds recovered$0.00none yet
Sensitive-record flags2handled per state rules
Privacy incidents1wrong-patient, open 1 day
Avg. incident resolution1.5 daysfrom flag to sign-off
Access events loggedevery viewdownload, print, share

Sensitive records

Mental health, substance-use and HIV/STD pages
Claim / requestFacilityTypeHandling
CLM-00048213 · R-48213-01Northfield RegionalMental health · pp. 14–18Held for review; separate authorization flagged
CLM-00048177 · R-48177-02Harbor ImagingWrong-patient · pp. 36–38Held back; incident opened (#15)

Access log

Who viewed, downloaded or shared recordsPlanned
UserActionRecordsWhen
Claims AdjusterViewedNorthfield records, CLM-00048213Today 9:14 AM
S. RiveraDownloadedHarbor Imaging reports, CLM-00048177Oct 02 3:40 PM
Defense counselViewed via linkRiverbend records, CLM-00048190Oct 05 11:02 AM
Privacy OfficerViewed held pagesHarbor Imaging pp. 36–38Oct 02 4:15 PM

A complete, exportable access trail for a carrier’s security review. Separate from the request activity log.

System Settings

Set it up once for how your team works.

Organization administrators manage these. Users only see their own preferences.

Users, roles and approval limits

UserRoleTeams they can seeApproval limit
Claims Adjuster (you)AdjusterAuto$500
S. RiveraAdjusterAuto, Home$500
M. ChenProcessorAll teamsView only
AP TeamAccounts payableAll teams$5,000
Claims SupervisorSupervisorAll teams$2,500

Invoices above a user’s limit route to the next approver. Under $25 is auto-approved.

Follow-up rules

Auto-send at 95% directory match
Off until match accuracy is proven

Escalation ladder

What happens when a facility goes quiet. Every step is written to the request’s activity log.

1
Aftercreate a call task for
2
Afteralert
3
Aftersuggest a subpoena or court order and prepare the activity log

Notifications

Only include items that need me
Email me for every new record
Most teams leave this off and use the summary.

Identifiers

Claim number
Shown on every request and letter
Rename
Example: “Claim number” to “Claim #” or “File number”
Client matter number
Used by outside counsel
Rename
Example: “Claim number” to “Claim #” or “File number”
Case number
Turn on once suits are filed
Rename
Example: “Claim number” to “Claim #” or “File number”

Renaming changes the label everywhere your team sees it: screens, letters, exports and the claim packet.

Shared inboxes and AP

Retention

Remind me 7 days before a claim is purged
Export all records
Every claim’s records, letters, invoices and activity logs in one download, organized by claim.

Large exports are prepared in the background. You’ll get an email with a secure download link.

State Specific Settings

Each state’s rules, set once and applied to every request.

Requests to facilities in a state use that state’s wording, delivery method and forms automatically. Users can still change them on a single request.

All 50 states start with defaults. Customized for your organization:
MichiganOhioLouisianaCalifornia
Sample values for this demo. Each customer confirms its state rules with counsel before go-live.

Request wording

Subpoenas and delivery

Authorizations and certification

Fees, timing and defaults

Last reviewed Oct 12, 2026 by Org Admin
Integration
Claim system export
Name *
Claim system export
Used by Claims, Invoices
Sends the completed claim packet to the claim system
SQLAutomation StudioREST API
Endpoint
https://[claim-system].example/api/v1
Authentication
[API KEY stored securely]
Field mapping
claim.id→ClaimNumber
claimant.name→ClaimantName
packet.zip→Documents[]
request.id→ExternalReference
Visible to administrators only.
Integration
AP batch file
Name *
AP batch file
Used by Claims, Invoices
Weekly approved-invoice file for accounts payable
SQLAutomation StudioREST API
Endpoint
https://[claim-system].example/api/v1
Authentication
[API KEY stored securely]
Field mapping
claim.id→ClaimNumber
claimant.name→ClaimantName
packet.zip→Documents[]
request.id→ExternalReference
Visible to administrators only.
Integration
Fax gateway
Name *
Fax gateway
Used by Claims, Invoices
Sends and receives faxes for requests and replies
SQLAutomation StudioREST API
Endpoint
https://[claim-system].example/api/v1
Authentication
[API KEY stored securely]
Field mapping
claim.id→ClaimNumber
claimant.name→ClaimantName
packet.zip→Documents[]
request.id→ExternalReference
Visible to administrators only.
Integration
Custodian portal retrieval
Name *
Custodian portal retrieval
Used by Claims, Invoices
Downloads released records from records vendor portals
SQLAutomation StudioREST API
Endpoint
https://[claim-system].example/api/v1
Authentication
[API KEY stored securely]
Field mapping
claim.id→ClaimNumber
claimant.name→ClaimantName
packet.zip→Documents[]
request.id→ExternalReference
Visible to administrators only.

Audit log

Every touch, on every claim, request, invoice and record.

A complete, tamper-evident trail for compliance and carrier security reviews. Entries can’t be edited or deleted. This is the system-wide view of the same activity shown on each claim and request.

Date / time (ET)ByObjectReferenceAction
Oct 30
9:14 AM
Claims Adjuster
Adjuster
RequestLogged: tried calling hospital again today.
Oct 30
9:02 AM
System
Automated
ClaimDuplicate request held (#17): Northfield already open for these dates.
Oct 29
4:45 PM
Claims Adjuster
Adjuster
RequestPrivate note added (not in court log).
Oct 28
9:10 AM
Claims Adjuster
Adjuster
RequestCall logged: transferred twice, call dropped.
Oct 14
2:00 PM
S. Rivera
Adjuster
RecordViewed held pages 36–38 (wrong-patient).
Oct 13
11:20 AM
AP Team
Accounts payable
InvoiceApproved $18.00 and sent to AP.
Oct 12
8:00 AM
System
Automated
RequestMarked Stalled; Issue #14 opened.
Oct 10
3:05 PM
Org Admin
Administrator
SettingsChanged request wording to “Subpoena.”
Oct 08
10:40 AM
AP Team
Accounts payable
InvoicePayment confirmed #AP-20417.
Oct 07
11:05 AM
Claims Adjuster
Adjuster
RequestCall logged with Lakeside about DOB mismatch.
Oct 06
8:30 AM
System
Automated
Record212 pages received; sent to Records Review.
Oct 05
1:10 PM
System
Automated
InvoiceInvoice $42.50 received; routed for approval.
Oct 02
4:15 PM
Privacy Officer
Compliance
IssueWrong-patient pages held; incident opened.
Oct 01
9:15 AM
Claims Adjuster
Adjuster
ClaimSent 4 requests from uploaded intake.
Sep 28
9:02 AM
Claims Adjuster
Adjuster
RequestRequest created and sent to Harbor Imaging.

Showing the 15 most recent of 2,480 entries this period. Automated entries are recorded by the system; user entries under the named user’s login. Nothing here can be edited or removed.

Demo extras

What your team would see, and what’s coming next.

Weekly summary to the adjuster

From Records Retrieval
To Claims Adjuster
Subject Your week: 18 requests in flight, 3 need you

Here’s where your requests stand this Friday.

14On track
1Delayed
3Need you
4New records

You’ll be signed in automatically. Change how often you get this in Settings.

To facilities

From records@[carrier].example
To him@northfield.example
Subject Records request #R-48213-01 · Jordan Sample · Claim CLM-00048213

Please find attached our request for records and the signed authorization.

Reply to this email with the fee and expected release date, or a certificate of no records. Please include request #R-48213-01.

From records@[carrier].example
To records@lakeside.example
Subject Reminder: records request #R-48213-02

We sent a request for records on 10/01/2026 and haven’t received a response. Please reply with the status, fee, or anything else you need.

Roadmap

Now · version 1.0Upload and confirm, letters, email and fax follow-up, reply reading, invoices and AP, records verification, claim packet export
NextAI summaries and “Ask about these records” · retrieval from custodian portals · a broader custodian directory
LaterOrdering records from inside your claim system and delivering them straight back · AI phone calls for receipt confirmation, with identity safeguards

Help us tailor it

  1. Should every request and reply use one shared mailbox (for example records@), or separate ones for invoices?
  2. How do invoices get approved today, and what limits do adjusters and supervisors have?
  3. How should approved invoices reach AP, and how are new custodians set up as vendors?
  4. Would your team ever need to create an invoice for its own records when a custodian doesn’t send one?
  5. Which identifiers do your teams use: claim number, client matter number, case number?
Request · child of claim CLM-00048190
R-48190-03 · Harbor Imaging Center
Stalled
  1. Draft
  2. Validating
  3. Ready
  4. Sent
  5. Acknowledged
  6. Invoice & payment
  7. Records in
  8. Verified
  9. Delivered
  10. Closed
No records after 32 days and 11 attempts
Issue #14 is open. If you need a court order, print the activity log as evidence of every attempt.
Activity log 13
Log activity Stamped automatically: Claims Adjuster · Oct 30, 2026 · 9:14 AM ET
Quick entry:Called, no answerLeft voicemailSpoke with records staffSent emailFacility promised a date

Entries can’t be edited or deleted once saved. A correction is added as a new entry, so the log stays a reliable record.

Date / time (ET)ByType
Entry
10/29/2026
4:45 PM
Claims Adjuster
Adjuster
NoteDiscussed with supervisor whether to request a court order. Private · not in court log
10/28/2026
9:10 AM
Claims Adjuster
Adjuster
Phone callTried calling hospital again today. Transferred twice; call dropped before reaching records.
10/24/2026
11:30 AM
M. Chen
Processor
EmailEmailed front desk asking for the name of a records contact. No reply.
10/21/2026
2:05 PM
Claims Adjuster
Adjuster
Phone callTried calling the film library again today. No answer. Left voicemail with request number and callback number.
10/16/2026
8:00 AM
System
Automated
FaxReminder 3 faxed with copy of original request. Delivered, 6 pages.
10/14/2026
10:15 AM
Claims Adjuster
Adjuster
Phone callSpoke with front desk (Maria). Request was forwarded to the film library. No release date given.
10/12/2026
8:00 AM
System
Automated
StatusNo response in 14 days. Request marked Stalled; Issue #14 opened.
10/09/2026
3:30 PM
M. Chen
Processor
Phone callCalled (555) 010-4417. Front desk said the film library is backed up. Left voicemail for records with request number.
10/06/2026
8:00 AM
System
Automated
EmailReminder 2 emailed. Delivered.
10/01/2026
8:00 AM
System
Automated
FaxReminder 1 faxed with copy of original request. Delivered, 6 pages.
09/28/2026
9:45 AM
System
Automated
EmailRequest and authorization emailed to front desk (info@harborimaging.example). Delivered.
09/28/2026
9:40 AM
System
Automated
FaxSecond fax attempt to (555) 010-4418. Result: line busy.
09/28/2026
9:02 AM
System
Automated
FaxRequest R-48190-03 faxed to (555) 010-4418 with signed authorization (4 pages). Result: line busy.
Validation
Before sending
✓Identity confirmed
Name, DOB and claim # confirmed Sep 28
✓Authorization attached
HIPAA authorization signed 08/20/2026
!Facility contact
Fax line busy twice; email used as backup
✓Scope within authorization
Any and all medical and billing records, including imaging
Follow-up
Remind facility every
3 business days
Reminders sent
3 of 3
Facility’s usual turnaround
Not enough history yet · alert set at 14 days

Follow-ups run through a Campaign: retry count, interval and response keywords.

Request
Request #
R-48190-03
Claim
CLM-00048190 · R. Example
Records requested
Any and all medical and billing records, including imaging · 08/14/2021 – present
Sent as
Authorization (Ohio default)
First sent
Sep 28 · fax busy, sent by email
Facility
Harbor Imaging Center
Film Library
Records phone
(555) 010-4417
Records fax
(555) 010-4418
Concept prototype for All modules on one page. Sample data only; most buttons are illustrative. Items marked Planned are on the roadmap.
Saved
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