What information do I need to provide to get my CT scans and x-rays for the injury claim?: Clear steps for North Carolina patients

Woman looking tired next to bills

What information do I need to provide to get my CT scans and x-rays for the injury claim? - North Carolina

Short Answer

In North Carolina, you can request your ER radiology records by sending a written request or HIPAA-compliant authorization to the hospital’s Health Information Management/Release of Information office with your full name, date of birth, dates of service, a copy of your photo ID, and a clear description of what you want (radiology reports and the actual CT/x-ray images). Parents or legal guardians may request for minors, except for limited services minors can consent to themselves. Providers may charge state-regulated copy fees and typically must respond within 30 days, but they cannot refuse records because a bill is unpaid or require you to assign settlement funds to get copies.

Understanding the Problem

You want to know exactly what to give a North Carolina hospital so you can obtain your ER CT scans and x-rays for a personal injury claim. As the injured driver taken by ambulance to the emergency room, you need a straightforward checklist to get both the radiology reports and the image files, and to understand how requests work if a child’s records are involved.

Apply the Law

Under North Carolina law, patients have a right to copies of their medical records, and providers may charge regulated copy fees. For accident-related care, hospitals and certain providers also have statutory liens on settlement proceeds, but those liens do not control record access. For minors, a parent or legal guardian usually signs the authorization unless the visit involved specific services a minor can consent to alone. The main office handling these requests is the hospital’s Health Information Management (HIM) or Release of Information (ROI) department. Providers generally must respond within 30 days to a records request.

Key Requirements

  • Identity details and ID: Patient’s full name, date of birth, address, phone, and a copy of a government photo ID.
  • Scope of request: Clearly list the ER visit date(s) and ask for both radiology reports and the actual images (CT/x-ray) from radiology.
  • Authorization/signature: Patient signature; for minors, a parent/legal guardian signs unless the minor’s visit was for services minors may consent to themselves.
  • Delivery format: Specify how you want them (secure portal, encrypted email, or a CD/USB with DICOM images).
  • Fees and method: Expect state-regulated copy fees; ask for electronic delivery to reduce cost where possible.
  • No pay-to-release: Providers cannot condition record release on paying the bill or signing an assignment of benefits; medical liens are handled through the settlement process.

What the Statutes Say

Analysis

Apply the Rule to the Facts: Because you were transported by ambulance and treated in the ER, send a signed HIPAA authorization and photo ID to the hospital’s HIM/ROI office identifying your ER date(s) and asking for both radiology reports and the actual CT/x-ray images. If you also need a child’s imaging, a parent or legal guardian can usually sign; if the visit involved services minors can consent to independently, the minor’s signature may be required. You do not need to sign an assignment of benefits to receive records; any provider liens are addressed later from the settlement under state lien rules.

Process & Timing

  1. Who files: You (or your parent/guardian for a minor) or your attorney with a signed HIPAA authorization. Where: Hospital Health Information Management/Release of Information office (and radiology film library if they process images separately) in North Carolina. What: A written request or the hospital’s “Authorization for Release of Health Information” naming ER date(s) and “radiology reports and images,” plus photo ID. When: Providers generally must respond within 30 days.
  2. The hospital processes the request and, if images are included, radiology prepares a secure download link or a CD/USB in DICOM format. This often takes 7–15 business days but can vary by county and hospital workload.
  3. You receive PDF radiology reports and the image files. Share copies with your treating providers and insurer, and keep an original set for your records and claim.

Exceptions & Pitfalls

  • Minor-consent records: If a minor received services they can consent to by law, the minor’s own authorization may be required for those records.
  • Wrong department: Send requests to HIM/ROI (and radiology for images) — not billing or the ER nurses’ station.
  • Forgetting the images: Ask for both “radiology reports and the actual image files (DICOM),” not just reports.
  • Fees: North Carolina allows regulated copying fees; requesting electronic delivery can reduce costs.
  • Liens vs. records: Hospitals have statutory liens on settlements, but they cannot require payment or an assignment of benefits to release records. Your attorney will address perfected liens from settlement funds under state law.
  • Medicare/Medicaid: If you are or may be eligible, tell your providers and attorney; separate reimbursement rules may apply to your settlement.

Conclusion

To get your ER CT scans and x-rays in North Carolina, submit a signed HIPAA authorization and photo ID to the hospital’s Health Information Management office that clearly lists your ER date(s) and requests both the radiology reports and image files. Providers may charge regulated copy fees and generally must respond within 30 days. Medical liens attach to settlements and are handled later; you do not need to sign an assignment of benefits to obtain your records. Send your request today to start the 30‑day clock.

Talk to a Personal Injury Attorney

If you're dealing with getting ER CT scans and x-rays for an injury claim, our firm has experienced attorneys who can help you understand your options and timelines. Call us today at 919-341-7055.

Disclaimer: This article provides general information about North Carolina law based on the single question stated above. It is not legal advice for your specific situation and does not create an attorney-client relationship. Laws, procedures, and local practice can change and may vary by county. If you have a deadline, act promptly and speak with a licensed North Carolina attorney.

Categories: 
close-link