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Premier Silicon Valley Academic Medical Center • Multi-Department ROI Routing Guide
How to Obtain Medical Records, Itemized Bills & Radiology from Stanford Health Care & Stanford Medicine Children's Health
Stanford Medicine operates Stanford Hospital in Palo Alto, Stanford Health Care Tri-Valley in Pleasanton, and Lucile Packard Children's Hospital Stanford.
Verified HIM & Release-of-Information Architecture
Stanford Health Care & Stanford Medicine Children's Health Record Retrieval Profile
- ROI Processing Model
- Stanford Health Care Health Information Management Services (HIMS)
- Primary States & Statutory Jurisdiction
- CA
- Critical Retrieval & Subpoena Notes
- Adult Stanford Health Care and pediatric Lucile Packard Children's Hospital maintain separate Health Information Management Release of Information desks.
The 3-Department Routing Split at Stanford Health Care & Stanford Medicine Children's Health
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 Stanford Health Care & Stanford Medicine Children's Health 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 | Stanford Health Care HIMS (Palo Alto & Tri-Valley / ValleyCare) OR Stanford Medicine Children's Health (Lucile Packard Children's Hospital) HIMS |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | Stanford Health Care Patient Financial Services |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | Stanford Radiology Image Library |
Post-Ciox v. Azar Statutory Fee Jurisdiction
State Statutory Copying Fee Caps Governing Stanford Health Care & Stanford Medicine Children's Health
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 Stanford Health Care & Stanford Medicine Children's Health are governed by the statutory per-page fee schedule of the state where treatment was rendered: