How to Obtain Medical Records, Itemized Bills & Radiology from Centro Médico de Río Piedras (ASEM / Hospital Universitario de Adultos & Pediátrico)
Centro Médico de Río Piedras in San Juan is the sole Level I Trauma Center and supratertiary medical complex serving Puerto Rico and the U.S. Caribbean, operated under the Administración de Servicios Médicos de Puerto Rico (ASEM) alongside separate member hospitals on the same campus.
Centro Médico de Río Piedras (ASEM / Hospital Universitario de Adultos & Pediátrico) Record Retrieval Profile
- ROI Processing Model
- Departamento de Manejo de Información de Salud (HIM / Récord Médico) — ASEM & Hospital Universitario
- Primary States & Statutory Jurisdiction
- PR
- Critical Retrieval & Subpoena Notes
- Most delayed requests at Centro Médico occur because attorneys send a single request to 'Centro Médico' without specifying whether the patient was treated solely in the ASEM Trauma/Emergency Stabilization Unit or admitted to Hospital Universitario de Adultos (UDH) or Hospital Industrial (CFSE). Under Puerto Rico Ley Núm. 194-2000 and 45 CFR § 164.524, bilingual authorizations are accepted and minor records require parent/tutor authorization until age 21.
The 3-Department Routing Split at Centro Médico de Río Piedras (ASEM / Hospital Universitario de Adultos & Pediátrico)
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 Centro Médico de Río Piedras (ASEM / Hospital Universitario de Adultos & Pediátrico) 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 | CRITICAL SPLIT: Centro Médico houses multiple distinct legal entities on one San Juan campus: (1) ASEM (Sala de Emergencias & Trauma Level I), (2) Hospital Universitario de Adultos (UDH), (3) Hospital Pediátrico Universitario, (4) Hospital Industrial (CFSE Workers' Comp), and (5) Hospital Oncológico! |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | Oficina de Facturación y Cobros de ASEM / Departamento de Salud de Puerto Rico (UB-04 & Recinto de Ciencias Médicas Physician Billing) |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | Departamento de Radiología e Imágenes Diagnósticas de ASEM (San Juan) |
State Statutory Copying Fee Caps Governing Centro Médico de Río Piedras (ASEM / Hospital Universitario de Adultos & Pediátrico)
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 Centro Médico de Río Piedras (ASEM / Hospital Universitario de Adultos & Pediátrico) are governed by the statutory per-page fee schedule of the state where treatment was rendered: