Release of Information

ChartSwap Integration

Updox has partnered with ChartSwap to help simplify the exchange of patient records between healthcare providers and requestors (law firms, record retrieval organizations, insurance companies, etc). ChartSwap does not generate any record requests themselves; rather, they enable the requestors on their platform to submit their requests electronically and allow providers to digitally fulfill the requested records.

By joining the ChartSwap network, Updox has extended its Release of Information application to allow requestors to search for your organization and send record requests electronically directly into your Release of Information app. You can use the Release of Information app to collect and organize the requested documents, just like you can with record requests you create, and when you have everything pulled together, you can quickly return the records to the requestor with a single click.

With the ChartSwap integration, you also have the option to set and collect custodian fees related to these requests.

If you would prefer not to receive requests via the ChartSwap integration, please contact our Support department and we can opt your organization out of the integration.

Does Updox automatically send any patient data out?

No, what you send out remains entirely in your control. You will still use the Release of Information application to gather the documentation and nothing is returned to the requestor unless and until you decide.

What happens if/when I receive a record request via the ChartSwap integration?

You will see a new request in your Release of Information dashboard. We also place a message into your Inbox every time you receive a new request for records from the ChartSwap platform, just to make sure you are aware of it. You can safely archive or delete these messages in the Inbox without affecting the request in the Release of Information app. The Inbox message is simply a way to notify you there’s a new request in your Release of Information app.

To fulfill these requests, you can click on the View on Dashboard button in the message or navigate to the Release of Information app thru the Home menu. You will then be able to process the request and electronically send it back to the requestor via the ChartSwap interface.

How do I collect custodian fees for the records I return?

Updox customers can choose whether or not they want to receive custodian fees for ChartSwap requests they fulfill. If you choose to get paid for the request, select the Yes option in the Compile and Send pop up screen and enter the number of billable pages in the text area.

If this is your first time requesting a custodian fee for records requested via the ChartSwap integration, ChartSwap will require additional information in order to setup the payment process. ChartSwap will reach out to you when they receive that first request and you will then need to work with them to establish those payment settings.

Here is the type of information ChartSwap will be looking for:

1. What record types do you accept requests for? 
   1. Medical/Billing/Imaging
2. If you are charging for electronic medical record or billing record requests today…
   1. What do you charge for medical records (base fees or per page fees)?
   2. What do you charge for billing records (base fees or per page fees)?
   3. Do you charge different fees by state? If yes, what are the fees by state?
   4. Do you have fees for workman’s comp requests? If yes, what are the fees?

If you have questions, you can always reach out to ChartSwap at providers@chartswap.com to start the conversation or find out more.

Do I process ChartSwap requests differently than standard requests?

While the general process of fulfilling a request is similar, there are a few differences when you are fulfilling  a request that you received via ChartSwap integration:

1. Requests originating via the ChartSwap platform will automatically appear in your Release of Information app. You do not need to create them.

2. Once you've clicked Compile and Send and confirmed the information in the pop up, you will no longer be able to add, reorder, or delete collected documents. 

3. If you accidentally send an incorrect record back to a requestor (using the Compile and Send button), you will need to reach out to ChartSwap at providers@chartswap.com and work with them to have the records pulled.

4. The Send as Fax option (which is available on standard records requests for accounts with faxing) is disabled for requests which originate from requestors on the ChartSwap platform. You can still download a PDF of your documents if you like.

5. Only the requestor can cancel requests received via the ChartSwap platform, but you can still decline a request if it’s not applicable (e.g., the patient was never seen at your practice) or it’s incomplete (e.g., there is insufficient authorization attached to the request).

What do the statuses mean?

There are 8 statuses you’ll see as you interact with the Release of Information application. 

Here is the typical lifecycle of a request:

1. Every new Release of Information request received from the ChartSwap platform begins in the Requested status.
2. As soon as the first collected document is added to the request (by uploading or printing), the status is automatically moved to In Progress.
3. From here, you can keep uploading or printing in documents until you have gathered all the necessary information.
4. Once you have everything you need, you use the Compile and Send button to take all of your collected documents, combine them into a single document, and electronically send them back to the requestor via the ChartSwap platform; the status is automatically moved to Submission Pending at this point.
5. When the compiled document has been successfully delivered to the ChartSwap interface, the status is automatically moved to Submitted. 
   1. This compiled document is now available for the requestor to download in the ChartSwap portal (where they submitted the request). The requestor will be asked to pay a download fee before they can access the files. If the requestor does not want to pay the download fees, they will be directed to contact your office to receive the records via an alternative method.
6. When the requestor downloads the compiled records from the ChartSwap interface, the request’s status will be automatically change to Completed.

Declined Status

If you receive a request that you cannot (or do not want to) fulfill, you can choose to decline the request. Using the Update Status button, you can manually change the status to Declined. The system will prompt you for a reason before changing the status. The requestor will be notified of the changed status and the decline reason.

Please note that requests in the Declined state cannot be reopened. If you decline a request because it is incomplete or invalid in some way and the requestor fixes the request and resubmits it, that will be a brand new request on the Release of Information app, we will not reopen the previous declined request.

Cancelled Status

If the requestor decides they no longer needs the information (before you return it), they have the ability to cancel the request and provide a reason via the ChartSwap platform. The request's status in the Release of Information Dashboard will automatically change to Cancelled and you will be able to see the reason why. Updox users cannot cancel a request received via the ChartSwap platform, only the requestor can cancel.

Submission Failed Status

If we are unable to return the records to the requestor, the request’s status will be automatically moved to Submission Failed. In this status, you can try to re-send the document by using the Compile and Send button again. If needed, you can also choose to change the status to Declined.

Allowed Status Changes

The contents of the Update Status drop-down depend on the current status of the request – we only show you the valid statuses you can change to. Here is the list of valid manual status changes:

• Requested → you can change the status to Declined
• In Progress → you can change the status to Declined
• Submission Failed → you can change the status to Declined