How to Obtain Medical Records, Itemized Bills & Radiology from SSM Health
SSM Health operates 23 hospitals and hundreds of outpatient clinics across Missouri (including SSM Health Saint Louis University Hospital and DePaul Hospital), Illinois, Wisconsin, and Oklahoma.
SSM Health Record Retrieval Profile
- ROI Processing Model
- SSM Health Centralized Health Information Management (HIM) Release of Information
- Primary States & Statutory Jurisdiction
- MO, IL, WI, OK
- Critical Retrieval & Subpoena Notes
- Note for Wisconsin SSM Health / Dean Medical Group requests: Wisconsin's health record fee statute (Wis. Stat. § 146.83) and state supreme court precedent provide strong fee protections for patient-authorized requests.
The 3-Department Routing Split at SSM Health
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 SSM Health 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 | SSM Health Release of Information (St. Louis/MO, Southern IL, Wisconsin/Dean Medical Group, Oklahoma/St. Anthony) |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | SSM Health Patient Financial Services |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | SSM Health Imaging Services Film Library |
State Statutory Copying Fee Caps Governing SSM Health
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 SSM Health are governed by the statutory per-page fee schedule of the state where treatment was rendered:
Mo. Rev. Stat. § 191.227 • 30 calendar days
735 ILCS 5/8-2001 & 8-2001(d-5) (Illinois Comptroller Annual Rate Adjustment) • 30 calendar days (60 days max with written reason)
Wis. Stat. § 146.83 • 30 calendar days
76 Okla. Stat. § 19 • 30 calendar days