How to Obtain Medical Records, Itemized Bills & Radiology from Dignity Health / CommonSpirit Health (CHI)
Formed by the merger of Dignity Health and Catholic Health Initiatives (CHI), CommonSpirit Health operates more than 140 hospitals across 21 states, including Dignity Health in California, Arizona, and Nevada, CHI St. Luke's in Texas, CHI Health in Nebraska, and CHI Saint Joseph in Kentucky.
Dignity Health / CommonSpirit Health (CHI) Record Retrieval Profile
- ROI Processing Model
- Regional HIM Release of Information & Contracted ROI Vendors (Datavant/Ciox / MRO)
- Primary States & Statutory Jurisdiction
- CA, AZ, NV, TX, CO, WA, OR, NE, IA, KY, AR, TN, OH
- Critical Retrieval & Subpoena Notes
- Many Dignity Health revenue cycle and itemized billing functions are managed through Optum360 / centralized Patient Financial Services, completely separate from campus HIM medical records.
The 3-Department Routing Split at Dignity Health / CommonSpirit Health (CHI)
A standard medical record request sent only to Health Information Management (HIM) will almost never return itemized billing ledgers or native DICOM imaging. Below is how Dignity Health / CommonSpirit Health (CHI) separates record production across three distinct units:
| Department Unit | Document Deliverable | Routing & Retrieval Protocol |
|---|---|---|
| 1. Clinical HIM / Release of Information | Discharge Summaries, Operative Notes, ED Nursing Logs, Labs | Campus-Specific Dignity Health / CHI Health Information Management |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | CommonSpirit Patient Financial Services / Optum360 Revenue Cycle |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | Hospital Campus Diagnostic Imaging Library |
State Statutory Copying Fee Caps Governing Dignity Health / CommonSpirit Health (CHI)
While direct-to-patient requests under 45 CFR § 164.524(c)(4) qualify for the federal cost-based labor rate, third-party attorney and subpoena requests to Dignity Health / CommonSpirit Health (CHI) are governed by the statutory per-page fee schedule of the state where treatment was rendered:
Cal. Health & Safety Code § 123110, Cal. Evid. Code § 1158 & § 1563 • 15 calendar days for copies under Cal. Health & Safety Code § 123110(b) (5 working days for pre-suit attorney inspection under Evid. Code § 1158)!
Ariz. Rev. Stat. § 12-2295 & § 12-2293 • 30 calendar days (HIPAA baseline)
Nev. Rev. Stat. § 629.061 • 30 calendar days (or 20 working days for in-state requests)
Tex. Health & Safety Code § 241.154 (Hospitals) & 22 TAC § 165.2 (Physicians) • 15 business days after receipt of request and fee under Tex. Health & Safety Code § 241.154(b)!
Colo. Rev. Stat. § 25-1-801 & 6 CCR 1011-1 • 30 calendar days (10 days for inpatient discharge inspection)
RCW 70.02.010(38), RCW 70.02.080 & WAC 246-08-400 • 15 working days after receipt of written request under RCW 70.02.080(1)!
Or. Rev. Stat. § 192.563 • 30 calendar days
Neb. Rev. Stat. § 71-8404 • 30 calendar days
Iowa Code § 622.10 & 653 IAC 13.7 • 30 calendar days
Ky. Rev. Stat. § 422.317 • 30 calendar days
Ark. Code Ann. § 16-46-106 • 30 calendar days (HIPAA baseline)
Tenn. Code Ann. § 68-11-304 (Hospitals) & § 63-2-102 (Physicians) • 10 working days for physicians (TCA § 63-2-101); reasonable time / 30 days for hospitals
Ohio Rev. Code § 3701.741 & § 3701.742 (Annual CPI Adjustment) • 30 calendar days