45 CFR § 164.524 & § 164.508 HIPAA Compliant
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Premier Northern California Academic Health System • Multi-Department ROI Routing Guide

How to Obtain Medical Records, Itemized Bills & Radiology from UCSF Health (UCSF Medical Center Parnassus, Mission Bay, Mount Zion & Oakland Children's)

UCSF Health operates UCSF Medical Center across San Francisco (Parnassus, Mission Bay, Mount Zion), UCSF Benioff Children's Hospitals in San Francisco and Oakland, and recently integrated Saint Francis Memorial Hospital and St. Mary's Medical Center.

Verified HIM & Release-of-Information Architecture

UCSF Health (UCSF Medical Center Parnassus, Mission Bay, Mount Zion & Oakland Children's) Record Retrieval Profile

ROI Processing Model
UCSF Health Information Management Services (HIMS)
Primary States & Statutory Jurisdiction
CA
Critical Retrieval & Subpoena Notes
California's 15-day response mandate (Cal. Health & Safety Code § 123110) and Cal. Evid. Code § 1158 attorney fee rules apply.

The 3-Department Routing Split at UCSF Health (UCSF Medical Center Parnassus, Mission Bay, Mount Zion & Oakland Children's)

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 UCSF Health (UCSF Medical Center Parnassus, Mission Bay, Mount Zion & Oakland Children's) separates record production across three distinct units:

Department UnitDocument DeliverableRouting & Retrieval Protocol
1. Clinical HIM / Release of InformationDischarge Summaries, Operative Notes, ED Nursing Logs, LabsUCSF HIMS Release of Information (Parnassus, Mission Bay, Mount Zion, Benioff Children's Hospitals SF & Oakland, St. Francis & St. Mary's SF)
2. Patient Financial Services (Billing)Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10UCSF Patient Financial Services
3. Radiology Film Library (PACS)Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound)UCSF Radiology Film Library
Post-Ciox v. Azar Statutory Fee Jurisdiction

State Statutory Copying Fee Caps Governing UCSF Health (UCSF Medical Center Parnassus, Mission Bay, Mount Zion & Oakland Children's)

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 UCSF Health (UCSF Medical Center Parnassus, Mission Bay, Mount Zion & Oakland Children's) are governed by the statutory per-page fee schedule of the state where treatment was rendered: