Tracking Details - #1204
Tracking Information
Case No: 1112
Order Date:
12/04/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Academy Physical Medicine and/or Dr. Randall Smith
9140 Academy Road
Philadelphia, PA 19114
Phone: (215) 333-9999
• Fax: (215) 333-9815
Patient: Oprah Winfrey
DOB: 12/16/1989
• SSN: ***-**-7667
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| No documents found. | ||
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/4/2025 5:47 PM |
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