Short Answer

In North Carolina, you send a HIPAA-compliant written request or provider release form to each facility’s Health Information Management (HIM)/Medical Records department and to the EMS agency that treated you. Providers generally must respond within 30 days and may charge reasonable copy fees. Ask for the exact date range and formats you need, then use those records and itemized bills to support your medical payments (Med Pay) claim with your auto insurer.

Understanding the Problem

You want to know, in North Carolina, how you—as the injured patient—can submit signed releases to get accident-related records from multiple hospitals, clinics, and EMS. You also want those records to help with your Med Pay claim. The question focuses on who you contact, what you send, and when you should expect to receive your records.

Apply the Law

Under North Carolina practice and federal privacy rules, you have a right to access your medical records or direct them to a recipient you choose. Providers typically require their own HIPAA authorization or a written request that clearly identifies you, the date range, and where to send the records. The main point of contact is each provider’s Health Information Management (HIM) or Medical Records department, including county or private EMS for the run sheet. Providers generally must respond within 30 days; one written extension (up to 30 more days) is allowed when needed. Reasonable copy fees can apply depending on the format and volume.

Key Requirements

• Valid authorization or request: Use the provider’s HIPAA form or a written request that includes your identifiers, accident date range, and delivery instructions.
• Correct destination: Send to the provider’s HIM/Medical Records unit (and the EMS records custodian) using the method they accept (portal, mail, fax, or secure email).
• Scope and format: Specify exactly what you need (records and itemized bills; imaging and EMS run sheet) and whether you want PDF, portal download, or CD.
• Identity verification and fees: Be prepared to provide ID and pay reasonable copy or media fees before release.
• Timing: Providers generally must respond within 30 days; they may extend once with written notice.
• Insurance coordination: After you receive records and itemized bills, submit them to your auto insurer with your Med Pay claim number.

What the Statutes Say

• HIPAA right of access (45 C.F.R. § 164.524) - Individuals may inspect, obtain copies, or direct copies of their health information, generally within 30 days.
• HHS Right of Access Guidance - Explains timelines, permissible fees, and delivery formats under HIPAA.
• NC Department of Insurance – Medical Payments Coverage - Outlines how Med Pay works so you can use your records and bills to support a claim.

Analysis

Apply the Rule to the Facts: Because you need records from multiple facilities and EMS, submit a separate HIPAA-compliant request to each HIM/Medical Records office and the EMS records custodian, limited to the accident date range. Ask for both medical records and itemized bills so your Med Pay carrier can evaluate charges. Expect a response within 30 days, and budget for reasonable copy or media fees. After receipt, send the documents to your auto insurer with your Med Pay claim number.

Process & Timing

1. Who files: You (or your attorney/authorized representative). Where: Each provider’s Health Information Management/Medical Records department and the EMS agency’s records unit in North Carolina. What: The provider’s HIPAA Authorization for Release of Health Information or a written access request; for your insurer, its Med Pay claim/benefits forms. When: Send requests now; providers generally must respond within 30 days.
2. Follow up if you receive no update by day 15–20; if an extension is needed, the provider should give written notice explaining the reason and new date.
3. On receipt, review for completeness (include EMS run sheet, imaging, and itemized bills). Then submit the records and bills to your auto insurer with your claim number to seek Med Pay reimbursement.

Exceptions & Pitfalls

• Do not send a blanket, open-ended release to the at-fault driver’s insurer; limit releases to providers and to the accident date range.
• Ask for itemized bills (with billing codes) in addition to medical records—your Med Pay carrier often needs both.
• If you want images (X-rays/MRIs), request the radiology report and the actual images; some facilities provide a portal link or CD for a separate fee.
• EMS records may be held by a county or private EMS agency; confirm the correct custodian and submission method.
• Fees and delivery formats vary; selecting electronic delivery can reduce cost and time.
• If a provider claims it needs more time, request written confirmation of the extension and the new target date.

Talk to a Personal Injury Attorney

If you're dealing with getting accident-related records and coordinating your Med Pay 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.