Tracking Details - #147
Tracking Information
Case No: 92
Order Date:
09/11/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: 100% Chiropractic - Decatur
1605 Church St. Suite 665
Decatur, GA 30033
Phone: (404) 343-3304
• Fax: 2122131715
Patient: Nicole Kidman
DOB: 05/28/1957
• SSN: ***-**-7500
Requested Records
| Record | Status |
|---|---|
| Films | Fulfilled |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_147_20250911220605.pdf | 2025-09-11 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 9/11/2025 10:02 PM | ||
| Generation Dept - Printed Packet | 9/12/2025 | Yes | 9/12/2025 2:06 AM | |
| Sent - Fax to Custodian | 9/12/2025 | Sent Fax to none@concordsends.com. File=D:\RecuperaRSFiles\CaseFiles\92\RequestPackets\Tracking_147_RequestPacket.pdf | No | 9/12/2025 2:06 AM |
| Assigned To: | 10/27/2025 | Assigned To: UserNo=1006 [INITIAL] | No | 10/25/2025 8:50 PM |
| Fax delivery confirmed | 10/25/2025 | Fax delivered (manual) | No | 10/25/2025 8:50 PM |
| 1st/2nd/3rd Follow-up with Client | Yes | 1/13/2026 3:23 AM | ||
| Received - Portion of Records | Received - Portion of Records | Yes | 2/26/2026 10:03 PM | |
| Called Facility | 3/5/2026 | Called 100% Chiropractic - Decatur at (404) 343-3304. Facility staff advised Let them know we'd received the Films & still awaiting Meds. | Yes | 2/26/2026 10:04 PM |
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