Tracking Details - #1187
Tracking Information
Case No: 1104
Order Date:
11/15/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Smithtown Center for Rehabilitation & Nursing Care
391 North Country Road
Smithtown, NY 11787
Phone: (631) 361-2020
• Fax: 631-361-3305
Patient: Taylor Swift
DOB: 12/25/2000
• SSN: ***-**-8420
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| Films | Pending |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| Juan Ochoa - Medical and Hospital Authorizations - Seguro v Seguro_20251115025608028.pdf | 2025-11-15 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 11/14/2025 9:56 PM | ||
| Generation Dept - Printed Packet | 11/18/2025 | Yes | 11/18/2025 3:02 AM | |
| Order Closed | Yes | 11/26/2025 5:35 PM |
Loading request packet...