Tracking Details - #1210
Tracking Information
Case No: 1112
Order Date:
12/05/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Abraham Glasman, M.D.
170 Great Neck Road
Great Neck, NY 11021
Phone: (516) 487-4464
• Fax: (516) 487-4950
Patient: Oprah Winfrey
DOB: 12/16/1989
• SSN: ***-**-7667
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| NextDocument_20251205031421706.pdf | 2025-12-05 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 12/4/2025 10:14 PM |
Loading request packet...