Tracking Details - #1151
Tracking Information
Case No: 1094
Order Date:
09/27/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Advocate Aurora Health Care
P.O. Box 809418
Chicago, IL 60680
Phone: 800-326-2250
• Fax: 212 580 1191
Patient: Idris Elba
DOB: 03/31/1951
• SSN: ***-**-7778
Requested Records
| Record | Status |
|---|---|
| Billing | Closed |
| Medical | Closed |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_1151_20250927125808.pdf | 2025-09-27 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 9/27/2025 12:56 PM | ||
| Generation Dept - Printed Packet | 9/27/2025 | Yes | 9/27/2025 4:58 PM | |
| Fax sent | 10/1/2025 | Fax sent [RC:2676431294006] | No | 10/1/2025 12:19 AM |
| Fax undelivered / failed | 10/2/2025 | Fax delivery failed: Auto-fail check: not delivered after configured polls | No | 10/2/2025 10:14 PM |
| Assigned To: | 10/5/2025 | Assigned To: UserNo=1005 | No | 10/3/2025 4:19 AM |
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