Podiatric Medical News
The Voice of Podiatrists
Serving Over 22,024 Subscribers Daily
November 17, 2025 #8,151
Publisher-Barry Block, DPM, JD
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Query: Insurance Request for Chart Notes
Recently, I received an email from Regence requesting 16 patient chart notes free of charge. I’m familiar with receiving similar requests from third-party vendors (ex. CIOX, Change Healthcare, etc.) and have successfully charged them for chart note access. However, this one reads differently to me, as it is directly from Regence demanding that I send chart notes to CIOX. They pull contract language as noted and state I am obligated to do so at no cost to them. Am I obligated or do I stand my ground and still demand payment? Have others experienced similar situations and what was the end result?
Medico-legal speaking, I will abide by what’s right, but it makes me wonder that if Regence is correct (i.e., I am under contract), then why have other insurances/vendors paid us physicians thousands of dollars for chart notes when they could have simply and legally enforced the same language Regence did? I imagine most, if not all, insurance contracts have similar language as Regence’s. Or is this just a game of calling each other’s bluff?
Chris Seuferling, DPM, Portland, OR
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