How to Obtain Medical Records, Itemized Bills & Radiology from Duke Health (Duke University Hospital, Duke Regional & Duke Raleigh)
Duke Health operates Duke University Hospital in Durham, Duke Regional Hospital, Duke Raleigh Hospital, and extensive specialty clinics across North Carolina. Third-party legal record requests in North Carolina are governed by N.C. Gen. Stat. § 90-411 ($0.75/pg pgs 1–25, $0.50/pg pgs 26–100, $0.25/pg 101+).
Duke Health (Duke University Hospital, Duke Regional & Duke Raleigh) Record Retrieval Profile
- ROI Processing Model
- Duke Health Health Information Management (HIM) Release of Information
- Primary States & Statutory Jurisdiction
- NC
- Critical Retrieval & Subpoena Notes
- Itemized hospital and physician billing statements are managed by Duke's Patient Revenue Management Organization (PRMO) rather than the clinical HIM department.
The 3-Department Routing Split at Duke Health (Duke University Hospital, Duke Regional & Duke Raleigh)
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 Duke Health (Duke University Hospital, Duke Regional & Duke Raleigh) 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 | Duke Health HIM Release of Information (Covers Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital & Duke Clinics) |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | Duke Health Customer Service / Patient Revenue Management Organization (PRMO) |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | Duke Radiology Image Management / Film Library |
State Statutory Copying Fee Caps Governing Duke Health (Duke University Hospital, Duke Regional & Duke Raleigh)
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 Duke Health (Duke University Hospital, Duke Regional & Duke Raleigh) are governed by the statutory per-page fee schedule of the state where treatment was rendered: