How to Obtain Medical Records, Itemized Bills & Radiology from Tenet Healthcare (Abrazo, Baptist Health System San Antonio, DMC, Piedmont/Carondelet)
Tenet Healthcare operates major acute-care hospital networks including The Hospitals of Providence (El Paso), Baptist Health System (San Antonio), Detroit Medical Center (DMC), Abrazo Health (Phoenix), Carondelet Health Network (Tucson), and Saint Vincent Hospital (Worcester, MA), plus over 450 ambulatory surgery centers via USPI.
Tenet Healthcare (Abrazo, Baptist Health System San Antonio, DMC, Piedmont/Carondelet) Record Retrieval Profile
- ROI Processing Model
- Conifer Health Solutions (Tenet's Revenue Cycle & HIM Subsidiary) & Datavant/Ciox
- Primary States & Statutory Jurisdiction
- TX, AZ, MI, CA, FL, MA, AL, SC
- Critical Retrieval & Subpoena Notes
- Tenet's hospital billing and Release of Information workflows are managed through its subsidiary, Conifer Health Solutions.
The 3-Department Routing Split at Tenet Healthcare (Abrazo, Baptist Health System San Antonio, DMC, Piedmont/Carondelet)
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 Tenet Healthcare (Abrazo, Baptist Health System San Antonio, DMC, Piedmont/Carondelet) 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 | Campus HIM / Conifer Health Solutions Release of Information |
| 2. Patient Financial Services (Billing) | Itemized UB-04 (Facility) & CMS-1500 (Physician) Ledgers with CPT/ICD-10 | Conifer Health Solutions Patient Financial Services (UB-04) + USPI (United Surgical Partners International) for outpatient surgery centers |
| 3. Radiology Film Library (PACS) | Native DICOM Imaging Studies (MRI, CT, X-Ray, Ultrasound) | Hospital Campus Radiology Department |
State Statutory Copying Fee Caps Governing Tenet Healthcare (Abrazo, Baptist Health System San Antonio, DMC, Piedmont/Carondelet)
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 Tenet Healthcare (Abrazo, Baptist Health System San Antonio, DMC, Piedmont/Carondelet) are governed by the statutory per-page fee schedule of the state where treatment was rendered:
Tex. Health & Safety Code § 241.154 (Hospitals) & 22 TAC § 165.2 (Physicians) • 15 business days after receipt of request and fee under Tex. Health & Safety Code § 241.154(b)!
Ariz. Rev. Stat. § 12-2295 & § 12-2293 • 30 calendar days (HIPAA baseline)
Mich. Comp. Laws § 333.26269 (Michigan Medical Records Access Act) • 30 calendar days (60 days if offsite)
Cal. Health & Safety Code § 123110, Cal. Evid. Code § 1158 & § 1563 • 15 calendar days for copies under Cal. Health & Safety Code § 123110(b) (5 working days for pre-suit attorney inspection under Evid. Code § 1158)!
Fla. Stat. § 395.3025 (Hospitals) & § 456.057 / Fla. Admin. Code 64B8-10.003 (Physicians) • Within a 'timely manner' / 30 days max under HIPAA
Mass. Gen. Laws ch. 111, § 70 (Hospitals) & ch. 112, § 12CC (Physicians) • 30 calendar days
Ala. Code § 12-21-6.1 • 30 calendar days (HIPAA baseline)
S.C. Code Ann. § 44-115-80 (Physicians) & § 44-7-325 (Hospitals) • 30 calendar days (45 days max)