texas medical records fees 2022

Chapter 134 - Benefits - Guidelines for Medical Services, Charges, and Payments, Subchapter C. Medical Fee Guidelines. Most record books include a space to record the notarial fees charged. In 1995, the Texas Legislature amended this law to address the release and confidentiality of health care information. Center for Health Emergency Preparedness & Response, Texas Comprehensive Cancer Control Program, Cancer Resources for Health Professionals, Resources for Cancer Patients, Caregivers and Families, Food Manufacturers, Wholesalers, and Warehouses, Emergency Medical Services (EMS) Licensure, National Electronic Disease Surveillance System (NEDSS), Health Care Information Collection (THCIC), Updating a Birth Record Based to Adoption, Persons Qualified to Request or Change Records, Requirements for Requesting/Changing Vital Records. For more information, contact us at 800-252-7031, option 3 or CompConnection@tdi.texas.gov. Here are some tips on locating a new physician: For physicians who accept Medicare payments, visit the Centers for Medicare and Medicaid Services' Physician Compare: https://www.medicare.gov/physiciancompare/. , , TMRT, LMRT, TLMRT, RCP, TRCP, Perfusionist, and Medical Physicists applicants Please submit your questions by email toTMBscreening@tmb.state.tx.us ); c. Watt v. Texas State Board of Medical Examiners, 303 S.W.2d 884 (Tex. The HIPAA release form can be revoked at any time. Notaries are also required to post their fees for the public, and you should give a written itemized invoice for your notarial services. Receive weekly HIPAA news directly via email, HIPAA News Federal Court Strikes Down HIPAA Fee Limitations for Third-Party Medical Records Requests Friday, January 31, 2020 On Jan. 29, 2020, OCR released a notice regarding a recent federal court ruling . Ex: $550.75 Registration fee due. If another physician has taken over the practice, the records may be available there. 115 0 obj <>/Filter/FlateDecode/ID[<692858CC02FA3143A5996EC874C490F8>]/Index[99 33]/Info 98 0 R/Length 80/Prev 96431/Root 100 0 R/Size 132/Type/XRef/W[1 2 1]>>stream By simply possessing patient health records, a physician may be pulled into a legal process at any time. Arlington, TX 76010 A member of the Democratic Party, Clinton became known as a New Democrat, as . Medical Records for SSI and SSD in Texas A physician may not charge a fee for copies (and therefore may not withhold the copies) where the records are requested: (1) by a licensed Texas health care provider or any American or Canadian licensed physician for acute or emergency medical care; or Massachusetts law allows physicians not covered by HIPAA to charge a base fee of $15.00 for each request, as well as a copying charge of $0.50 per page for the first 100 pages, and $0.25 per page in excess of 100. Not at this time. The Licensing Analyst assigned to review your file will examine all supporting documentation. Please mail all requests for medical records to: Texas Health Resources Health Information Management Department Release of Information 500 E. Border Street, Suite 700 Arlington, TX 76010 Email: HIMSROI@texashealth.org Phone: 1-855-681-8243 Fax: 214-345-8811 Sometimes patients send a written request for records to the doctors next of kin or the executor of the doctors estate. For Minor Patients: For minor patients, medical doctors are required to keep the records for 7 years until the patient reaches the age of 21 (whichever date is later). Bush state office building. Download Form Fees While Texas law protects patients' medical records from unauthorized eyes, there are numerous instances where these records must be shared with third parties. When in doubt about how to appropriately release medical records, please contact the TMLT claim department at 800-580-8658. Email: HIMSROI@texashealth.org %PDF-1.6 % Max Fee: $150.00 per request Statute Title 22 Part 4 Chapter 401 Section 1711-A Maryland The VIP fee is $115.00 plus a processing charge of $4.31. A reasonable feefor providing copies of medicalrecordsin electronic format is a charge of no more than: $25 for 500 p . The central theme of 2022 was the U.S. government's deploying of its sanctions, AML . If yo , outreach information, news and publications, open records and TMB data reports. $15.00. ); d. Flynn Brothers, Inc. v. First Medical Associates, 715 S.W.2d 782 (Tex. The completed form may also be faxed to 956-289-2964. Subchapter F. Pharmaceutical Benefits. Effective January 1, 2022, this new law will expand the circumstances that a healthcare facility must provide a patient one complete copy of their medical records free of charge. hb```f``f`b`` @1&|gVppp@H@9jon 30@ \s[!|F] 9 According to the lawsuit filed, one of the plaintiffs stated they were requested to pay $77.50 to get access to their electronic medical records from a non-hospital urgent care clinic. Cookies help us improve your website experience. Texas Medical Board San Antonio, Texas 78249. Medical doctors in Texas are required to keep medical records for adult patients for 7 years since the last treatment date. Is that legal? Cell: (210) 723 - 7178.A Ryanair flight travelling from Poland to Greece was escorted to Athens airport by fighter jets this Sunday, January 22, after a suspected bomb threat on board. For services provided in calendar year 2023, the new Medical Fee Guideline conversion factors are $64.83 and $81.38. $10.00 flat fee (for all other healthcare providers) + reasonable production costs RS 40:1165.1 Maine Paper Records Search Fee: $5.00 (includes the first page) Pages 2+: $0.45 per page Max Fee: $250.00 Electronic Records A reasonable fee may be charged. In many cases more information or documentation is needed. If not, and compliance is required, the physician may call the attorney asking for the records and explain why more time is needed. All rights reserved. The Medical Fee Guideline conversion factors are established by 28 Texas Administrative Code 134.203. Medical Radiologic Technology Board Do Texas Medical Board rules regarding fees for copying medical records apply to mental health records? For the purposes of this section, and notwithstanding Chapter 159, Occupations Code, or any other law, a request for the medical records of a deceased person or a person who is incompetent shall be deemed to be valid if accompanied by an authorization in the form required by Section 74.052 signed by a parent, spouse, or adult child of the deceased or incompetent person. These charges are reviewed and updated annually based on the price index as published by the Bureau of Labor Statistics of the United States Department of Labor. Copied Pages Supplied 11 40: $0.85 per page, Copied Pages Supplied 41+: $0.57 per page, Copied Pages Supplied 11 20: $1.00 per page, Copied Pages Supplied 21 60: $0.90 per page, Copied Pages Supplied 61+: $0.50 per page, Copied Pages Supplied 1 20: $0.97 per page, Copied Pages Supplied 21 100: $ 0.83 per page, Copied Pages Supplied 101+: $0.66 per page, Copied Pages Supplied 1 25: $1.09 per page, Copied Pages Supplied 26 50: $0.73 per page, Copied Pages Supplied 50+: $0.36 per page, Copied Pages Supplied 11 50: $0.50 per page, Copied Pages Supplied 51+: $0.25 per page, Copied Pages Supplied 1 25: $1.00 per page, Copied Pages Supplied 26 350: $0.50 per page, Copied Pages Supplied 351+: $0.25 per page, Max Fee for Electronic Records: $100.00 per request, Max Fee for Electronic Records: $150.00 per request, Electronic Records Medical Record Search Fee: $22.88, Electronic Records Copied Pages Supplied 1+: $0.62 per page, Max Fee for Electronic Records: $81.63 per request, Copied Pages Supplied 1 100: $0.84 per page, Copied Pages Supplied 100+: $0.43 per page. all other applicants through contacting the Texas Medical Board Customer Service Department at (512) 305-7030 between 8 a.m. and 5 p.m. Central Time. Osteopathic manipulation is the movement of the bones and joints. 0 Cancel Any Time. In addition, information is provided , gencys enforcement process, submit an open records request, and access agency statistics and data. A 68-year-old woman came to an orthopedic surgeon due to pain in both knees. Average rates. The fee may not include the cost associated with searching for and retrieving the records. *You can request overnight return shipping without an expedited processing; however, if expedited processing is selected, expedited return shipping is required. Review the report and ask the investigating officer questions. Here are the USA's medical record copying fees by state to help you better budget for your clients' record retrieval needs. This section applies to professional dental services provided in the Texas workers compensation system. Requests for records created and kept by a hospital should be directed to the hospital rather than to the physician. Copyright 2014-2023 HIPAA Journal. Chapter 134 Benefits Guidelines for Medical Services, Charges, and Payments. How do I get my, https://www.medicare.gov/physiciancompare/, https://hhs.texas.gov/services/health/medicaid-chip, http://www.tmb.state.tx.us/page/look-up-a-license, http://www.texashealthoptions.com/compare/index.html, Am I eligible for the NCT Registry if I completed only an alternate 20 hour radiology training course for a podiatric, Compact w/ Texans (Complaint About Agency), Governor's Committee on People with Disabilities. the actual cost of mailing, shipping, or otherwise delivering the provided copies. The State of Texas' fiscal year begins on September 1st. Call Comp Connection for Health Care Providers at800-252-7031 option 3, or email CompConnection@tdi.texas.gov. A general summary of the corporate practice of medicine doctrine is that it prohibits physicians from entering into partnerships, employee relationships, fee splitting, or other situations with non-physicians where the physician's practice of medicine is in any way controlled or directed by, or fees shared with a non-physician. Medical Reimbursement Policies, Conversion Factors for Workers' Compensation Medical Fee Guidelines, Reimbursement for Professional and Workers' Compensation Specific Services video, Texas Workers Compensation Reimbursement Policies and Methodologies video, Calculations examples for Ambulatory Surgical Center Fee Guidelines, Instructions for Completing the ADA J515 Dental Claim Form for Texas Workers' Compensation Claims, Health care services provided in a federal military treatment facility, Subchapter B. Miscellaneous Reimbursement, Reimbursement for Professional and Workers Compensation Specific Services, Texas Workers Compensation Reimbursement Policies and Methodologies, Billing and Reimbursement for Designated Doctor Examinations and Required Medical Examinations, Billing and Reimbursement for Maximum Medical Improvement and Impairment Rating Examinations by Certifying Doctor, Benefit dispute resolution(compensability, extent of injury/relatedness or liability), 134.209 to 134.250 Medical Fee Guideline for Workers' Compensation Specific Services, State Auditor's Office Hotline: 800-TX-AUDIT. For Medicaid and the Children's Health Insurance Program (CHIP), visit https://hhs.texas.gov/services/health/medicaid-chip. Civ. If another physician has taken over the practice, the records may also be available there. The corporate practice of medicine is a legal doctrine, which generally prohibits corporations, entities or individuals (i.e. Your Privacy Respected Please see HIPAA Journal privacy policy. . My physician closed his office. Texas Medical Liability Trust Resource Hub. IMLC FAQs , o practice medicine in Texas using the Interstate Medical Licensure Compact (IMLC) must complete the Jurisprudence Exam (JP exam) then register his or her license with the Board and pay a registration fee. 131 0 obj <>stream How do I get my medical records? Understanding DWC medical reimbursement policies and fee guideline rules is crucial to successful reimbursement for workers' compensation claims. 25 0 obj <>/Filter/FlateDecode/ID[<1386554CCC9ADB48A38B6659AD9BEA16>]/Index[18 15]/Info 17 0 R/Length 57/Prev 40626/Root 19 0 R/Size 33/Type/XRef/W[1 2 1]>>stream Individuals considering applying for a Conceded Emin , y Care Practitioner (RCP), Perfusionist (PF), and Medical Physicist (MP) Applicants (Updated 8/10/2021) You can reasonably rely on a parents representation that they have custodial rights. The CPT codes to remain compensable in a hospital outpatient or ambulatory surgical center setting are: 22630 (lumbar spine fusion) 23472 (reconstruct shoulder joint) 500 E. Border Street, Suite 700 tions. Texas.gov will remit the amount paid to the Texas Physician Assistant Board on your behalf. 2023 Texas Health Resources. You can also contact the TMB to determine if a custodian of records has been reported. Meeting Minutes For more information on changing or correcting a death record, see theRequirements for Changing Vital Records. However, under Texas state law, the health record copying fee should have been $25. . Preparing and filing a delayed certificate. Please find The TSBDE's Fee Schedule located below: (2). A Guide to the Texas Medical Records Privacy Act Iain Roberts | 6 min read | Updated On - September 23, 2022 The Texas Medical Records Privacy Act (TMRPA), or the "Texas privacy act", came into effect on September 1, 2019. B7v1cOvP884#iNd~3D ( Sometimes patients send a written request for records to the doctors next of kin or the executor of the doctors estate. The costs and fees for vital records are non-refundable and non-transferable, even if the record is not found or is identified incorrectly. This number, assigned to you at the time you submitted your application for licensure, for physicians can be found online through LIST (Licensure Inquiry System of Texas) or for all other applicants through contacting the Texas Medical Board Customer Service Department at (512) 305-7030 between 8 a.m. and 5 p.m. Central Time. Board rules define a reasonable fee for providing paper copies of medical records as no more than $25 for the first twenty pages and $.50 per page for every copy thereafter. the requesting party has made a good faith attempt to provide written notice or mailed the notice to the last known address; the notice must include sufficient information about the litigation to permit the individual to raise an objection; the time for raising objections has elapsed (again, Texas has no definite time frame for objecting, so 10 days is likely sufficient); and. We believe that the potential of a community lies in the health and well-being of its members. Texas HB300; HIPAA for. Please download the Authorization for Release of Patient Information, below, complete all required fields, sign it, and mail the form to: Texas Health Resources Medical Records Price Index 2022 The Medical Records Price Index is published to the Ohio Department of Health website annually and establishes the maximum amounts health care providers may charge for copying a patient's medical record. Hospitals: $18 retrieval fee for the first 5 pages of the record. $15.00. 2017 Texas fees for copies of medical records in paper form: 1-10 pages $45.79, includes basic retrieval or processing fee; 11-60 pages $1.54 per page; 61-400 pages $0.76 . State Health Laboratory 50 Orms St Providence, RI 02904-2222 Email us Directions Phone: 401-222-5600 RI Relay 711 Monday - Friday 8:30 AM - 4:30 PM App. read more What are reasonable fees for medical records? However, whether an independent contractor situation exists is a question of law and attendant facts. Requests may come in the form of a subpoena. You may also fax the completed authorization to 469-698-1172. . The TMB's new address is: A physician or, when permitted, an eligible professional who orders, certifies, refers, or prescribes Part A . The TMB does not evaluate or give advice regarding civil liability claims. When charging for travel fees, you must separate notarial fees from travel fees. Arlington, TX 76010, Authorization for Release of Patient Information, Autorizacin de Divulgacin de la Informacin del Paciente. The HIPAA form also allow healthcare providers to share records, with the form specifying when the information can be shared and what it can be used for. Please consult your tax advisor for details. TMB Data Reports [>}'na3Y/0M>6^E!_m(O&z_OUZn/& E+Q D*P)G%m*iAZA\ c6&8a"-S{?N*>K2LY"8j0m=SxlI"?]!YP2_tH~iZw%]{1=^8Ol!TFwedO+UWp\dYg.. (The cost may be adjusted according to . Find out how to get copies of your child's immunization records. Contact Us Civil Practice and Remedies Code. The completed form may also be faxed to 956-289-2964. 0 All rights reserved. Please mail all requests for medical records to: Texas Health Resources American Association of Notaries is owned by Kal Tabbara, a licensed insurance agent in Texas. endstream endobj startxref Texas Health and Human Services hhs.texas.gov Maximum Fees Allowed for Providing Health Care Information Effective September 1, 2020 . The pharmacy fee guideline applies to reimbursement of prescription drugs and nonprescription drugs or over-the-counter medications for outpatient use in the Texas workers compensation system. Exception Records requested in the context of a health care liability claim being asserted under Chapter 74 may be released, if accompanied by a medical authorization signed by a parent, spouse, or adult child of the deceased or incompetent person. CompConnection@tdi.texas.gov, Conversion factors to be applied for services provided based on the following time frames, 1601 Congress Avenue, Austin, TX 78701 | PO Box 12050, Austin, TX 78711 | 512-804-4000 | 800-252-7031, Medical and facility fee guidelines and information, State Auditor's Office Hotline: 800-TX-AUDIT. The TMB Bulletins contain this inform , The Texas Medical Board offers a CME-eligible presentation to county medical societies, medical specialty societies, and hospitals in order to inform and educate physician licensees about the regulation of the practice of medicine through physician licensure and enforcement. 500 E. Border Street, Suite 700 Often, those reasons include legal proceedings against other persons, entities, or even against the physician from whom they make the records request. $0.60 for pages 51-250. The information and opinions in this publication should not be used or referred to as primary legal sources or construed as establishing medical standards of care for the purposes of litigation, including expert testimony. Section 164.052(a)(13) of the Medical Practice Act authorizes disciplinary action against any licensee for impersonation of a licensed practitioner or permitting another to use his license to practice medicine. Sufficient Access. Por favor, responda a esta breve encuesta. endstream endobj 100 0 obj <>/Metadata 10 0 R/Outlines 17 0 R/Pages 97 0 R/StructTreeRoot 19 0 R/Type/Catalog/ViewerPreferences 116 0 R>> endobj 101 0 obj <>/MediaBox[0 0 612 792]/Parent 97 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 102 0 obj <>stream If another physician has taken over the practice, the records may also be available there. The annual update is based on the Medicare Economic Index (MEI), which is a weighted average of price changes for goods and services used to deliver physician services. Click here to learn more about how membership can enhance your practice and connect you to a valuable network of like-minded advocates. Mail a written request for records to the physician by certified mail, return receipt requested. A federal military treatment facility (FMTF) is a medical facility that operates as part of the Military Health System of the United States Department of Defense. Questions? $20 flat fee (for hospitals) + reasonable production costs $10 flat fee (for all other healthcare providers) + reasonable production costs Worker's Comp First Request : Free Second Request : $0.50 per page RS 40:1165.1 Maine Paper Records Page 1 : $5.00 Pages 2+ : $0.45 per page Max Fee : $250.00 per request Electronic Records . actice, outreach information and helpful links to medical schools, and other state and federal health care regulatory agencies. A physician may charge separate fees for medical and billing records requested. TMA's . The requested copies of medical and/or billing records or a summary or narrative of the records shall be furnished by the physician within 15 business days after the date of receipt of the request and reasonable fees for furnishing the information. If a Conceded Eminence license holder terminates their relationship with the institution or program, the license shall be considered automatically canceled. We're currently offering brand new members a discounted rate of $250 for the first two years. Research, Funding, & Educational Resources. (c) Denial of Requests for Records. The conversion factor of $64.83 applies to service categories of evaluation and management, general medicine, physical medicine and rehabilitation, radiology, pathology, anesthesia, and surgery when performed in an office setting. medical records for DME items Dr. John Doe ordered. Medical records from licensed health institutions, facilities, or health care providers maximum allowable charge cannot exceed $14.00 for the first ten or fewer pages, $0.50 per page for pages 11-40, and $0.33 per page for every additional page Actual postage or shipping costs and applicable sales tax, if any, also may be charged. If you or your physician needs copies of your medical records, please submit our Medical Records Release Form and allow 3-5 business days for processing. (There are four possible responses when a subpoena is received. the American Association of Notaries, Inc., are underwritten by Western Surety Company (established 1900). UIL Music Region 29. Copied Pages Supplied 1 20: $1.27 per page, Copied Pages Supplied 21 50: $0.63 per page. Requests for medical records can come directly from patients, who may be requesting records for their own use. Preparing and filing a report of adoption for a foreign-born person adopted in Tennessee. South Texas Health System McAllen Attn: Medical Records Deptartment 301 W. Expressway 83 McAllen, Texas 78503 Monday through Friday, 8 a.m. to 4:30 p.m. Download the Authorization Form (PDF) You may request your medical records for any South Texas Health System facility at any location. Texas Administrative Code, Title 22, Part 9, Chapter 165.2, Medical Record Release and Charges. How long do physicians have to keep medical records? It is distributed with the understanding that neither Texas Medical Liability Trust nor its affiliates are engaged in rendering legal services. Taking a deposition of a witness (for each 100 words). . A physician may charge separate fees for medical and billing records requested. Discuss your fees with the signers before performing the notarial act to avoid confusion or conflict afterward. Newsroom Fees for hospital records differ from those records provided by physicians. Acupuncture Board Requirements vary based on license type. Medical Board Press Releases CompConnection@tdi.texas.gov, 1601 Congress Avenue, Austin, TX 78701 | PO Box 12050, Austin, TX 78711 | 512-804-4000 | 800-252-7031, Medical and facility fee guidelines and information, 28 Texas Administrative Code (TAC), Chapter 134, Subchapter A. 434 (W.D. It is also important that the person in your office responsible for gathering and producing copies of the records complies with state and federal laws regarding the release of confidential information. This is found in 241.154(b)-(d) of the Health and Safety Code. The medical record fees at HMHD facilities will not exceed the rates permitted by the Texas State Legislature. Available at https://statutes.capitol.texas.gov/Docs/CP/htm/CP.74.htm. 12/11/2024 MADD Promo Codes & Deals March 2022 - Up To 10% Off. The request should clearly be signed by the patient. At this time there is no centralized state repository for medical records. Release of Information App.- Dallas 1986, writ ref'd n.r.e. Please consult an attorney if you have questions regarding liability claims. Please select your state from the dropdown menu below and then click on the "Update State" endstream endobj startxref HIPAA Journal provides the most comprehensive coverage of HIPAA news anywhere online, in addition to independent advice about HIPAA compliance and the best practices to adopt to avoid data breaches, HIPAA violations and regulatory fines. We also provide some thoughts concerning compliance and risk mitigation in this challenging environment. To learn if your physician has been sued, contact the court clerk in the county where your physician practices. Can I file a liability claim through the Medical Board against my physician? The calendar year (CY) 2022 PFS final rule is one of several rules that reflect a broader . Accessed on October 22, 2018. ians are required to provide a description of any medical malpractice claim to the TMB for publication on the physician profile. Local, state or federal agencies requesting health care information may be entitled by statute to a different fee. 18 0 obj <> endobj Fees for hospital records differ from those records provided by physicians. Texas 1974); b. F.W.B. If you are a Podiatric Medical Assistant who completed an alternate 20 hour radiology training course, you will need to be registered with Texas Department of Licensing and Regulation (TDLR)as aPodiatric Medical Radiological Technician.Information is available on . A 24-year-old pregnant woman came to her ob-gyn with a headache and high blood pressure. hbbd``b`: $Xi De -(qaL Hz$, /m&FO@#O , The Board collects and verifies applicant credentials, as required by statute , l of the license as a person holding a full Texas medical license. March 23, 2010 . Because of the highly technical aspects of this doctrine, a physician should consult with private counsel regarding any actual or contemplated arrangement. However, if you look up a doctor using Look up a Licensee, you can see the doctors reported specialty area of practice and any reported specialty board certifications. (i) Notwithstanding any other provision of this section, a hospital may not prohibit in-person visitation by a religious counselor with a patient who is receiving care or treatment at the hospital and who is seriously ill or dying for a reason other than the religious counselor's failure to comply with a requirement described by Subsection (c)(2). For Physician Assistant, Physician-in-Training and all other applicantsPlease submit your questions by email to&n , IMLC Qualifications How do I obtain a copy of my medical records? Mail a written request for records to the physician by certified mail, return receipt requested. Subchapter C. Medical Fee Guidelines. The 2022 final rule halted the transition and added back the services removed in 2021, except for three CPT codes along with their corresponding anesthesia codes. Medical records management encompasses not only managing the records of current patients, but also retaining old records against possible future need, and providing copies or transferring records to a third party as requested by the patient or the patient's authorized representative. By default, all record requests are returned via USPS First Class mail at no cost. The agency should inform the hospital of this fact, or information can be obtained from the Legal Department. Look Up a License $0.85 for pages 6-50. This method provides assurance that the request was delivered. HITECH News Letter Of Qualification (LOQ) Eligibility Checklist- PDF %%EOF FMTFs are not subject to the Texas workers compensation statutes and rules for medical bill processing and payment, including DWC fee guidelines. Copied Pages Supplied 21 100: $1.00 per page, Copied Pages Supplied 101+: $0.50 per page, Search/Storage Fee: $15.00 (Only charged if records are retrieved from off-site location), Storage Fee: $24.40 (Additional fee if records are retrieved off-site), Copied Pages Supplied: 1+: $0.50 per page, Copied Pages Supplied 1 100: $1.00 per page, Copied Pages Supplied 101+: $0.25 per page, Copied Pages Supplied 16+: $0.25 per page, Copied Pages Supplied 26 100: $0.50 per page, Copied Pages Supplied 100+: $0.25 per page, Copied Pages Supplied 26+: $0.75 per page, Electronic Records Medical Record Search Fee: $30.00 (Includes Copied Pages Supplied 1-25), Electronic Records Copied Pages Supplied 26+: $0.25 per page, Copied Pages Supplied 1 10: $1.34 per page, Copied Pages Supplied 11 50: $0.69 per page, Copied Pages Supplied 51+: $0.27 per page, X-rays: Medical Record Search Fee plus $2.27 per page, Copied Pages Supplied 11-50: $0.50 per page, Copied Pages Supplied 1 20: $1.58 per page, Copied Pages Supplied 21 60: $1.17 per page, Copied Pages Supplied 61+: $0.40 per page, Copied Pages Supplied 10 50: $0.75 per page, Copied Pages Supplied 51+: $0.50 per page, Copied Pages Supplied 1 30: $0.69 per page, Copied Pages Supplied 31+: $0.53 per page, Copied Pages Supplied 6 50: $0.85 per page, Copied Pages Supplied 51 250: $0.60 per page, Copied Pages Supplied 251+: $0.35 per page, Copied Pages Supplied 11 60: $1.64 per page, Copied Pages Supplied 61 400: $0.80 per page, Copied Pages Supplied 401+: $0.44 per page, Copied Pages Supplied 1 40: $0.53 per page, Copied Pages Supplied 41+: $0.32 per page, Copied Pages Supplied 1 50: $0.50 per page, Electronic Records Medical Record Search Fee: $20.00, Electronic Records Copied Pages Supplied 1 50: $0.37 per page, Electronic Records Copied Pages Supplied 51+: $0.18 per page, Microfilm Medical Record Search Fee: $20.00, Microfilm Copied Pages Supplied 1+: $1.00 per page, Copied Pages Supplied 1 30: $1.17 per page, Copied Pages Supplied 31+: $0.88 per page, Copied Pages Supplied 1+ : $0.40 per page, Copied Pages Supplied 1+ Electronic Records: $0.20 per page, Copied Pages Supplied 1 25: $1.14 per page, Copied Pages Supplied 26 50: $0.86 per page, Copied Pages Supplied 51 100: $0.56 per page, Copied Pages Supplied 101+ $0.34 per page, Microfilm and other media: $22.19 + $1.68 per page, Certification (if not patient or their representative): $9.04 per request.