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Medical records request tracking for personal injury firms

How PI firms track medical records requests: the tracker columns, a duplicate check before you send and a flag for records that come back incomplete.

Dmitrijs Vitjazevs

Hand reviewing a case document with a pen

Most personal injury firms track medical records requests with one row per provider request, kept in the case management system or a shared spreadsheet. Each row shows the provider, what was asked for, the date it went out, whether the signed authorization is on file, the next follow-up date and whether what came back is complete. Every row has a named owner. Before anyone sends a new request, they check the tracker for an open request to the same provider for the same dates.

This page gives you the columns, three example rows and the two checks that stop most of the mess: duplicates going out and partial records being filed as complete.

Medical records tracking: columns to copy

Put these columns in a spreadsheet or in custom fields if your case management software allows them.

Column

What goes in it

Case

Case name or number

Provider

The facility or practice, as it appears on the records

Records contact

Who you send to (records department, custodian or the retrieval company the provider uses) and how (fax, portal, mail, email)

Record type

Medical records, itemized bills, imaging reports, films. One type per row if they go to different places

Dates of service requested

The date range in the request

Authorization on file

Yes or no, plus the date the client signed it

Date sent

The day the request actually went out

Proof of sending

Fax confirmation, portal receipt, tracking number

Next follow-up date

Set the day you send. Never leave it blank

Status

Not sent, Sent, Partial, Complete, Cancelled

What's missing

Only filled in when the status is Partial

Owner

The one person who chases this row

Reviewed by

Who checked the records against the request

Notes

Fees quoted, contact names, anything the provider said

Three example rows

Case

Provider

Record type

Dates requested

Auth on file

Date sent

Next follow-up

Status

What's missing

Owner

Reviewed by

24-118

City urgent care

Records

3 Mar to 3 Mar

Yes, signed 10 Mar

12 Mar

26 Mar

Sent

Paralegal A

24-118

Orthopedic group

Records + itemized bill

10 Mar to 30 Jun

Yes, signed 10 Mar

2 Jul

16 Jul

Partial

Bill received, no visit notes after 2 May

Paralegal A

Paralegal B

24-131

Imaging center

Imaging report

18 Apr to 18 Apr

No

Not sent

Intake C

The third row is the one your weekly review should catch first. It can't go out until the authorization comes back, so the next step is to chase the client for the signed form.

Check 1: look for a duplicate before you send

A duplicate request can mean paying a provider's fee twice and confusing its records team about which request to answer. Run this check before every new request.

  1. Search the tracker for the provider by name. Check other names it might be under too, such as a hospital system or the retrieval company that handles its records.
  2. Look at every row for that provider on this case, whatever its status.
  3. Compare the dates of service and the record type.
  4. Decide using the table below.

What you find

What to do

No row for this provider on this case

Send the request

An open row covering the same dates and record type

Don't send. Follow up on the open one instead

An open row covering some of the dates

Ask the case owner whether to send a new request only for the gap

A Complete row, with more treatment since

Send a new request for the new dates only

A Cancelled row

Read the note to see why before sending anything

Anything unclear goes to the paralegal or attorney on the case, who decides with the tracker in front of them.

Check 2: flag records that come back incomplete

When records arrive, someone compares them with the request before the row is marked Complete. This is an admin check of what arrived against what was asked for. Reading what the records say stays with the legal team.

Check these against the row:

  • Do the records cover the full date range you asked for?
  • Did every record type come back? Notes, bills and imaging reports often arrive separately.
  • If you asked for a certification or an itemized bill, is it there?
  • Does the page count look right for the number of visits? Note the count so the next person can see it.

If anything is missing, set the status to Partial, write exactly what's missing in plain words (for example, "no visit notes after 2 May") and set a new follow-up date. Then put the row in front of the person named in Reviewed by.

If your firm uses Clio's Personal Injury Add-On, its medical provider cards already have statuses for Requested, Received and Incomplete, plus a follow-up date that can create a task (Clio help article). Clio says the add-on isn't on every plan. Use its built-in request dates, status and follow-up fields, and keep any additional checks in your firm’s existing process.

How to run it each week

A tracker only works if someone looks at it on a schedule. Once a week, filter the tracker four ways:

  1. Next follow-up date is today or earlier.
  2. Status is Partial.
  3. Authorization on file is No.
  4. Status is Sent and nothing has come back after the gap your firm considers too long.

Each filter gives one person a short list to work through. For what to say when you follow up, see our medical records follow-up letter templates.

Where automation helps

You keep the same columns and automate some of the checking around them. These steps are the easiest to start with:

  • A reminder to the row owner on the follow-up date, with the request details attached.
  • A prompt to run the duplicate check whenever someone starts a new request for a provider already on the case.
  • A draft follow-up letter, filled in from the row, waiting for a person to approve it.
  • A status change and a note to the reviewer when records land in the case folder.

None of this needs new case management software. Runnrr scopes automations like these around the software and inbox a firm already uses. A person on your team still approves anything that goes out. The About page describes the founder’s background.

If you'd like help setting up one workflow like this, you can read about Runnrr’s workflow setup.

Frequently asked questions

How do personal injury firms track medical records requests?

They keep one row per provider request, in the case management system or a spreadsheet. Each row has the provider, record type, dates of service, authorization status, date sent, next follow-up date, status and a named owner. Someone reviews the list every week.

What columns should a medical records request tracker have?

Case, provider, records contact, record type, dates of service requested, authorization on file, date sent, proof of sending, next follow-up date, status, what's missing, owner, reviewed by and notes.

How do you avoid sending duplicate medical records requests?

Before sending, search the tracker for the provider on that case and compare the dates of service and record type. If an open request already covers them, follow up on that one instead of sending a new request.

What should you do when medical records come back incomplete?

Mark the request Partial, write down exactly what's missing, set a new follow-up date and send it to the person who reviews records. Don't mark it Complete until every requested date and record type has arrived.

Can Clio track medical records requests?

Yes, through its Personal Injury Add-On, which Clio says isn't available on every plan. Its provider cards hold request dates, follow-up dates and statuses such as Requested, Received and Incomplete.