Tracking Details - #146

Tracking Information
Case No: 91
Order Date: 09/11/2025
Due Date:
Template Packet: HIPAA Authorization Packet
Scope:
Location: Active Rehab & Chiropractic Center, Inc.
1003 S. Kirkman Rd., Suite 203
Orlando, FL 32811
Phone: None • Fax: None
Patient: Meryl Streep
DOB: 12/20/1995 • SSN: ***-**-1866
Active Rehab & Chiropractic Center, Inc.
1003 S. Kirkman Rd., Suite 203
Orlando, FL 32811
Phone: None • Fax: None
Recommended for this case: New York HIPAA Authorization Packet via PacketTemplateDefault (LegacyDefault).
Meryl Streep
DOB: 12/20/1995 • SSN: ***-**-1866
Requested Records
Record Status
Billing Pending
Medical Pending
File Name Uploaded Date Uploaded By
HIPAA_Authorization_146_20250911210701.pdf 2025-09-11
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 9/11/2025 9:06 PM
Generation Dept - Printed Packet 9/12/2025 Yes 9/12/2025 1:08 AM
FedEx to Custodian FedEx label saved. Tracking=794913435780; Path=D:\RecuperaRSFiles\FedExLabels\2025\09\12\label_1132_794913435780.pdf No 9/12/2025 1:09 AM
Delivered to custodian (carrier confirmed) 11/21/2025 Delivered (manual) No 11/21/2025 6:43 PM
Assigned To: 11/23/2025 Assigned To: UserNo=1005 [INITIAL] No 11/21/2025 6:43 PM
Received Invoice From Custodian 2/23/2026 Yes 2/23/2026 6:06 PM
Facility invoice paid Yes 2/24/2026 12:00 AM
Loading request packet...