×
Submit CNR
Select a reason for the CNR:
No Records For Patient
No Records For DOS
Records Have Been Purged
Other
Upload CNR
X
Possible Duplicates
Click on any of the below entries to compare the request PDFs.
X
Current Request
Previously Processed Request
Mark Duplicate
View Request Details
Close
X
Request Details
Request Number:
Request Type:
Patient First Name:
Patient Last Name:
Patient DOB:
Customer Code:
Customer Reference:
Facility Code:
Date Requested:
Hold Until:
This will prevent records from being delivered until this date.
Check Duplicates
Problem
CNR
Add Payment
Deliver Now
?
Select Delivery Method
Fax
Mail
Email
Download Notice
Upload Records
Request Number
Patient First Name
Patient Last Name
Patient DOB
Customer Code
Customer Reference
Batch ID
Facility
All Facilities
Request Type
All Types
ROI
FMLA
Prior Auth
Continuation of Care
Hide Batches?
?
Search
Clear
Request #
Patient Name
Date of Birth
Customer Code
Customer Reference
Facility Code
Last Viewed By
Last Viewed On
Additional Actions
Print Log