Tracking Details - #1152
Tracking Information
Case No: 1094
Order Date:
09/27/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: VA North Chicago
3001 Green Bay Road
North Chicago, IL 60064
Phone: None
• Fax: None
Patient: Idris Elba
DOB: 03/31/1951
• SSN: ***-**-7778
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_1152_20250927125819.pdf | 2025-09-27 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 9/27/2025 12:57 PM | ||
| Generation Dept - Printed Packet | 9/27/2025 | Yes | 9/27/2025 4:58 PM | |
| Fax sent | 9/30/2025 | Fax sent [RC:] | No | 9/30/2025 11:11 PM |
| Fax delivery confirmed | 10/1/2025 | Fax delivered (manual) | No | 10/1/2025 2:45 PM |
| Assigned To: | 10/3/2025 | Assigned To: UserNo=1006 [INITIAL] | No | 10/1/2025 2:45 PM |
| Emailed Request to Custodian | Emailed Request Packet to joeperri89@gmail.com (RequestNo 2144) | Yes | 11/19/2025 9:42 PM |
Loading request packet...