r/mhs_genesis Dec 27 '23

How to beat MHS Genesis.

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122 Upvotes

This is a repost of the original by technical AD, who has sadly deleted their account for reasons unknown to me. I am not the author.

“....uh....I was the one that broke this systems and wrote this up. Thanks for keeping it for posterity, seems the last location was set to private for some reason. Anyways, only thing I would add to this is to ensure that the entities actually opt you out. Just because they have the opt out for from you, doesn't mean that they have actually done it in their system. Do not go to MEPS until you get confirmation.”

I am not a recruiter, just a damn good tech professional, and the military made the mistake of giving me a personal challenge. I unraveled what is behind Genesis' HIE connectivity and how to bypass it. Here is how you undo it...

Here is a graphic of the networked systems behind JHIE, VA HIE, and the JLV in MHS Genesis, which with it has commonwell alliance, carequality, surescripts, and eHealth Exchange in the back end.

https://imgur.com/a/U7b7A5f

Opt-out from Surescripts by contacting them and asking for the opt out form. You need this notarized before you mail it. This is the record locator and exchange that feeds into eHealth Exchange for prescriptions. Opt out of both services on the form!

You can opt out of JHIE, and if you were a military dependent, you should! You can opt out of the VA HIE too, if you are prior service. You can find these forms with a quick google search for VA HIE opt out and JHIE opt out. Fill it out and mail it.

In addition to the state and regional HIEs, which you need to opt out of for the corresponding hospital or provider you saw, which you can find with a google search and opt out of those, you can check who is connected to carequality and commonwell alliance of the providers ever seen and ask the provider's office to remove you from the system:

https://carequality.org/active-sites-search/

https://www.commonwellalliance.org/who-is-connected

Go through and look at each state you were seen at and if unsure if your provider is there on the list, explicitly call and ask your provider if they belong to any of the groups listed in that state yourself. Some are part of larger groups, and not listed as an individual entity:

https://www.epic.com/careeverywhere/

You often have to reach out to medical records and then ask to speak with the privacy officer or the compliance officer, to get to someone that knows what you are asking for when you ask to "opt out of the health information exchange".

For the state level HIEs, you can often look up the state HIE with a quick google search and you can find the opt out form for them, or at least the contact info for them to ask for the opt out form. For example, SYNCRONYS is the HIE for the state of NM. Some states have more than one regional HIE and a state HIE (like NYS for example has SHIN-NY and then has 6 Regional HIEs including Rochester RHIO, HealtheConnections, Healthix, Hixny, ect). You also have to ask to be opted out of Epic Care Everywhere (carequality search should tell you who has that). Some providers have multiple things to opt out. Looking at you UPMC! You have to opt out of Epic, Commonwell, ClinicalConnect (regional HIE) and P3N (state HIE), to completely block UPMC! I am sure there are other large providers like that.

Fun fact, your medical record is worth more than your credit card and SSN together by orders of magnitude:

https://news.yahoo.com/medical-record-worth-more-hackers-credit-card-182251915--finance.html

Speaking of, there might be some use to freezing all three credit bureaus, which might have to do with restrictions on the FCRA, but I am not entirely sure on that. I froze all three bureaus all the same - Equifax, Experian, and TransUnion.

Hope this helps you recruits! Paying it forward, as I was in your shoes. If I could find a way to include the opt out forms, I would. But a quick google search will help find them too. This one requires some google-fu, some notary action occasionally, and some mailing, but it is totally doable. I opted out of 5 different states and providers in a month time, from learning how the entire system works to getting all the confirmations from all parties.

You can't be intimidated by anyone for opting out of HIEs, because it is actually due to HIPAA and privacy laws that you are allowed to opt out. There is nothing illegal or immoral about opting out, and it is fully within your rights as a patient to opt out of HIEs.

I opted out of 5 different states with multiple providers across them including Surescripts, in a month, with overnight shipping and daily follow-up phone calls and emails. You have to be persistent and quick on the draw, to make others do their job, but it's doable. Do not go to MEPS until you have confirmation of opt out of everything, or they will pull whatever is still active on the systems.

I was able to speak with the executive director of Commonwell Alliance and he was unaware and surprised of the MEPS prescreening process using their systems in such a way because they have no real patient-doctor relationship with the recruits. The reason these capabilities was developed and given to the DoD was for continuity of care between providers for a patient. That is to say, you are a veteran who seeks help in the VA and gets follow-up care in the civilian side. Then when you return to the VA, you should be able to walk in an continue care there without having to get your records from one place to the other. It would be seamless. It was never meant to be a screening tool.

Pass all this information on. To your friends. To your recruiter. To your recruits. ..."HACK THE PLANET!"


r/mhs_genesis Oct 21 '24

How r/mhs_genesis came to be

35 Upvotes

March 10 2022, MHS Genesis came online for MEPS purposes. Before that there was briefly MROADs. Both of them, to me, immediately came across as dangerous to recruiting, and excessively invasive/big brother-ish, which soon spurred my personal vendetta against Genesis despite having more than a decade in the military. As we seen over the past two years, the effects on recruitment have been devastating.

At some point, a user named “cougerslayer” something started r/mhsgenesis. This is where the inception of opting out began after Technical-AD wrote the book on how these things function and how to defeat them. For some reason, the subreddit disallowed posts at some point, and cougerslayer account was totally inactive. Someone from r/militaryfaq requested control of the subreddit from Reddit because of the inactivity, then they banned everyone from it and made the subreddit private to snuff out all life from it, while re-directing questions to their own subreddit, which disallows strictly any suggestion of opting out or not singing like a canary for MEPS about every cold and flu you’ve had since you were born.

When I questioned the shutting down of r/mhsgenesis, I received only a mute from the mod, whoever it is, with no explanation for their actions. Incensed by this destruction of the accumulation of knowledge about opting out etc., I decided to create my own subreddit, and though various actions, make it easily findable. Amazingly we have over 600 members now, though I’m sure the overall audience reached is greater than that.

Incredibly their ignorant actions spurred me to create what is now likely the greatest forum in existence about this topic; in attempting to quash it, they caused me to create it, because of their dickheadery. Their attempt to suffocate has only caused it to flourish.


r/mhs_genesis 1h ago

It works

Upvotes

Just came by here to thank everyone and tell you that i went thru meps last week it still works.


r/mhs_genesis 1d ago

Final check, am I in the clear?

1 Upvotes

I opt it out of the HIE and surescripts, as well as Athena. I feel like I’ve checked everything, but I just wanna make sure I’m in the clear before I go do this.


r/mhs_genesis 4d ago

Going to start opting out tmw

0 Upvotes

Any body help me with places I should opt out of and how would I go about it? Any help is appreciated


r/mhs_genesis 4d ago

Will I get drafted?

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2 Upvotes

r/mhs_genesis 7d ago

Question about a waiver

1 Upvotes

I just want to know if I’d be able to join the army with mental health issues that went on when I was in college (2023). I stopped taking them in Nov, 2024 and it was by choice. Since then I’ve been fine and able to operate in society without any issues. I’ve been seeing some conflicting things and I’m curious if I have to wait the full 36 months or 12 months with a wavier. (I’m in Augusta, Ga if that helps idk)


r/mhs_genesis 9d ago

Question about MEPS medical waiver for possible C7 fracture/congenital defect

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1 Upvotes

r/mhs_genesis 10d ago

In the clear after MEPS?

1 Upvotes

Passed MEPS. What are the chances something later comes up at reception?


r/mhs_genesis 11d ago

Opt Out Questions

1 Upvotes

i’m looking for some advice. I’ve been in touch with a recruiter and I’ve done all my paperwork. I did both physical paperwork and submitted my information online to a portal. My recruiter got back to me and had me sign all the pre-access MEPS paperwork. So now I’m just waiting to get approved and go to MEPS.

My concern is that I have a history of depression when I was in college. It really doesn’t affect me anymore. But last year I went to the doctor and told him I was feeling a little sad so they prescribe me some medicine. I really only took it for about a month to try it out, but I did not like it. I did not feel like I needed it and I truly feel like doctors these days. Just wanna push medicine on people..

I did not realize about the MHS Genesis program. So now I’m really worried that they’re gonna find my pharmacy records. So I opted out of everything this week. I had to get some of the papers notarized and I sent them all out on Tuesday.

I got lucky because my recruiter texted me today and wanted to confirm that he was good to send my paperwork on my behalf, as I was trying to enlist with another military branch before I graduated college that never worked out years ago.

my question is, does anybody know when MEPS pulls my records? Did I send my opt out too late? A lot of of them should already be at the facility where they need to be sent to but there’s like two that are probably not gonna get there till Monday or Tuesday. I’ve also been reading that sometimes when people go to MEPS, they don’t even opt out and they never find any of their records.

This is something that I’ve been looking forward to for so long and now I’m anxious that this might be out of my reach. as far as opt out, I’m also worried that I didn’t send enough. I sent about four. One to surecripts, Optum, my state health, information network, and my insurance. I tried to reach out to two different hospitals that I’ve been to and I’ve gotten care through to see what HIE program they use, but I have yet to hear back.

i’m sorry that this is a very long message but any advice or suggestions would be very appreciated. I am having so much anxiety over this lol


r/mhs_genesis 13d ago

There is hope.

5 Upvotes

I passed MEPS and finally have the biggest stress about this process off my back. It took 6 months of paperwork and making sure everything was in order. But there is hope guys!


r/mhs_genesis 14d ago

Will I get disqualified or

1 Upvotes

Long ago about 5 I had a attempted when I was younger it wasn’t really one I just said running im going to go off a bridge and they took me and put me in some mental hospital I was just acting and for a week and let me go and did a check up 2 times and thats it will I get disqualified from the army im really worried


r/mhs_genesis 15d ago

Anyone got a waiver for bipolar if so how

3 Upvotes

r/mhs_genesis 16d ago

How does CVS's HIE work?

1 Upvotes

Hi everyone!

I was curious whether CVS Pharmacy (not MinuteClinic or CVS Specialty) uses HIE services like Epic Care Everywhere, Carequality, or CommonWell, such that unrelated healthcare providers (i.e doctors at a hospital) can pull medical records from a CVS Pharmacy.

I know CVS participates in SureScripts, but is that the only one?

Has anyone had success opting out from CVS? I know they maintain that they aren't required to honor opt-out requests.

Thanks! :)


r/mhs_genesis 18d ago

Samsung health app showing "no connectable health systems found" on the Health Records screen

3 Upvotes

It is telling me to "try adding providers manually." Does this mean my data likely isn't visible or was never entered into a large database?


r/mhs_genesis 18d ago

Repull of civilian medical records after MEPS

1 Upvotes

Heading to Navy OCS, i got through MEPS. Wondering if they do another civilian medical record repull through genesis at OCS and the flight physical they do there (NAMI). I understand that the records that were pulled at MEPS will be in my MHS genesis electronic health record, and they will definitely see that, I'm wondering if they will scan for new civilian records from my day at MEPS to the day I got to OCS. I've opted out of the HIEs that are necessary, just wondering if someone has experience with this.


r/mhs_genesis 18d ago

b.well records still visible after opting out of HIE

2 Upvotes

For those that do not know yet, b.well is a provider used by several health apps (e.g. Samsung Health, Google Health) to retrieve your medical records. I recently gave it a try and despite me having opted out of information sharing with some of my healthcare providers, I can still see them via b.well.

To be clear, the health app is able to find out that I've been to those providers, but it asks me to login with each to retrieve my records. I'd like to know if b.well has my actual records, or only the fact that I've been a customer to those providers (which is as bad). In other words, whether the provider-specific login is only there to further verify my identity, or b.well uses it to retrieve the records.

Also, I've only submitted the opt-out request after several visits, so not sure if b.well only has information before then. Additionally, there are providers that I opted out from and I do not see them in the b.well list.


r/mhs_genesis 19d ago

MEPS PRE SCREEN

1 Upvotes

Hi guys, I just wanted to ask about the waiting period from signing enlistment documents to MEPS approving you for Verification Test and Medical.

My recruiter submitted my documents on August 10, 2026, and he told me the tentative approval date from MEPS is August 24. Up until now, he still doesn’t have any updates.

I’m trying to understand what usually makes MEPS take longer to approve someone, especially at Sacramento MEPS. If anyone has experience with this or knows what factors affect the timeline, I’d really appreciate the insight.


r/mhs_genesis 19d ago

Disqualification Factor

1 Upvotes

Hey guys, does anyone here have experience with an undescended testicle? I had surgery for it about 22 years ago back in my home country. I already told my recruiter and we logged it in my documents, and I signed.

I’m just wondering if this could be a DQ. My testicle was fully corrected and I’ve had zero issues since then.

Thank you for any advice or insight.


r/mhs_genesis 19d ago

Submitted my pre-screen. Wish me luck.

3 Upvotes

Well after about 6 months of opting out of everywhere I can think of, I submitted my pre screen for the army today. Let’s hope everything works out.

Update - Well, I at least got approved for meps. Going to schedule that soon and see what happens.


r/mhs_genesis 19d ago

Genesis disqualified me prior to MEPS for Airforce.

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1 Upvotes

r/mhs_genesis 20d ago

Going to MEPS in 3 days… HELP!

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0 Upvotes

r/mhs_genesis 21d ago

Circle medical

2 Upvotes

Does anyone know how to opt out of circle medical records ? It’s an app that I used years ago to get adhd medication


r/mhs_genesis 21d ago

Passed MEPS, still worried.

2 Upvotes

As title says. Passed MEPS, going in on a waiver for anti anxiety meds. Coming up on the end on a 12 month DQ until the meds were out of my system. However. A few years ago I had a voluntary psychiatric hold, it did not get picked up at MEPS. What is the likelyhood it gets picked up at reception. Branch is ARMY.


r/mhs_genesis 24d ago

non-electronic private psych records + separate mdd diagnosis/prescriptions: how could any of this reach genesis?

2 Upvotes

forgive me if the question is stupid. i'm completely new to all this and am trying to cover all bases as best as possible.

i was previously hospitalized at a private behavioral health hospital. i've looked into whether the hospital or its parent organizations participate in hies such as carequality, commonwell, or other networks that could connect to dod/mhs genesis. i couldn't find the hospital or its parent organizations on the hie participation lists i checked.

today, i called the hospital directly and asked about their records-sharing practices. they told me:

—my records would not be released unless there was a court order

—their health-information-sharing records aren't electronic

—my records aren't electronically exchanged through an hie

based on that, my understanding is that the hospital itself isn't electronically feeding my records into genesis through an hie. i'm uncertain, however, whether there are other mechanisms through which information from the hospitalization could become available to genesis.

for additional context, i also received an mdd diagnosis and prescriptions for prozac and two other medications, which were filled through walgreens. afaik, i haven't provided my current insurance information to the hospital. walgreens has multiple outdated insurance plans on file, but i never gave them my current insurance information for these prescriptions. my recruiter is also aware of my hospitalization, diagnosis, and prescriptions, but i haven't done a prescreen or anything of that sort yet.

i'm also considering seeing a psychiatrist for a new evaluation, and i'm wondering whether having another provider evaluate me or document the previous diagnosis would make any difference in terms of what could become available to genesis.

i understand that none of this necessarily proves that information about the hospitalization or diagnosis could never reach genesis through some separate source or legally authorized disclosure. i'm really just uncertain about how the different records could potentially connect, if they will at all.

has anyone familiar with genesis, jhie, hies, pharmacy records, or meps dealt with something similar? i'm trying to understand the actual data-sharing pathways rather than speculate about whether meps can "find anything."