Demand intelligence
Missing medical records
Missing records
Direct answer
Missing medical records are documents the file implies should exist — referenced, ordered or billed — but that are not present in the assembled record set. They are found by comparing references and billing against the documents actually held, which is why reading a record set front to back rarely reveals them.
NORBU Demand Editorial · Last reviewed 2026-08-31
Signals that a record is missing
- A charge for imaging with no radiology report attached
- A referral with no corresponding consultation note
- Therapy billing covering more visits than there are notes
- An operative report with no follow-up documentation
- A provider named in an intake history but never collected from
Cost of sending without them
| Missing item | Likely carrier response |
|---|---|
| Radiology report | Imaging charge discounted or excluded |
| Therapy notes | Portion of therapy charges questioned |
| Specialist consult | Referral chain treated as unsupported |
| Prior records | Pre-existing condition argument raised |
Building the request list
The output of detection should be an actionable request list — provider, document, date range, reason — rather than a general note that the file looks incomplete.
NORBU Demand provides analytical support for counsel. It does not determine legal value, predict settlement outcomes, or provide legal advice. Every observation is presented for attorney review.
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