How to Obtain Medical Records, Itemized Bills & Radiology from Memorial Hermann Health System (Texas Medical Center & Greater Houston)
Memorial Hermann operates 17 hospitals across Greater Houston, anchored by Memorial Hermann-Texas Medical Center (one of the busiest Level I Trauma Centers in the United States) and TIRR Memorial Hermann.
Memorial Hermann Health System (Texas Medical Center & Greater Houston) Record Retrieval Profile
- ROI Processing Model
- Memorial Hermann Health Information Management (HIM) Centralized Release of Information
- Primary States & Statutory Jurisdiction
- TX
- Critical Retrieval & Subpoena Notes
- Crucial Billing Split at Memorial Hermann-TMC: Emergency and trauma physicians at Memorial Hermann-Texas Medical Center are faculty of McGovern Medical School (UTHealth Houston) and bill separately through UT Physicians, not on Memorial Hermann's hospital UB-04! Under Tex. Health & Safety Code § 241.154(b), Texas hospitals must produce records within 15 business days.
The 3-Department Routing Split at Memorial Hermann Health System (Texas Medical Center & Greater Houston)
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 Memorial Hermann Health System (Texas Medical Center & Greater Houston) 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 | Memorial Hermann Centralized HIM Release of Information (Covers TMC Level I Trauma Center, Southwest, Memorial City, The Woodlands, Greater Heights, Southeast, Katy, Sugar Land, Cypress, Northeast, TIRR) |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | Memorial Hermann Patient Business Services (UB-04) + UTHealth Houston Physicians (CMS-1500 for TMC Trauma/ER doctors!) |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | Memorial Hermann Diagnostic Imaging Film Library |
State Statutory Copying Fee Caps Governing Memorial Hermann Health System (Texas Medical Center & Greater Houston)
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 Memorial Hermann Health System (Texas Medical Center & Greater Houston) are governed by the statutory per-page fee schedule of the state where treatment was rendered: