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.
- 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.
- Look at every row for that provider on this case, whatever its status.
- Compare the dates of service and the record type.
- 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:
- Next follow-up date is today or earlier.
- Status is Partial.
- Authorization on file is No.
- 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.