How to Obtain Medical Records, Itemized Bills & Radiology from Penn Medicine (Hospital of the University of Pennsylvania, Penn Presbyterian, Pennsylvania Hospital)
Penn Medicine encompasses the Hospital of the University of Pennsylvania (HUP), Penn Presbyterian Medical Center (Level I Trauma Center for Philadelphia), Pennsylvania Hospital, Chester County Hospital, Lancaster General Health, and Penn Medicine Princeton Health in New Jersey.
Penn Medicine (Hospital of the University of Pennsylvania, Penn Presbyterian, Pennsylvania Hospital) Record Retrieval Profile
- ROI Processing Model
- Penn Medicine Centralized Health Information Management (HIM) / MRO Corp
- Primary States & Statutory Jurisdiction
- PA, NJ
- Critical Retrieval & Subpoena Notes
- Note that Penn Medicine Princeton Health is located in Plainsboro, New Jersey and is governed by New Jersey's statutory hospital fee caps under N.J.S.A. 26:2H-5n ($50 max cap per admission for patient/patient-authorized attorney requests; $200 max cap for third-party insurers/subpoenas).
The 3-Department Routing Split at Penn Medicine (Hospital of the University of Pennsylvania, Penn Presbyterian, Pennsylvania Hospital)
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 Penn Medicine (Hospital of the University of Pennsylvania, Penn Presbyterian, Pennsylvania Hospital) 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 | Penn Medicine HIM Release of Information (HUP, Penn Presbyterian, Pennsylvania Hospital, Chester County Hospital, Lancaster General Health, Princeton Health NJ) |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | Penn Medicine Patient Financial Services |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | Penn Medicine Radiology Film Library |
State Statutory Copying Fee Caps Governing Penn Medicine (Hospital of the University of Pennsylvania, Penn Presbyterian, Pennsylvania Hospital)
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 Penn Medicine (Hospital of the University of Pennsylvania, Penn Presbyterian, Pennsylvania Hospital) are governed by the statutory per-page fee schedule of the state where treatment was rendered: