Tracking Details - #157
Tracking Information
Case No: 95
Order Date:
09/15/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Dr. Barbara Cartabuke-Mule
329 E Middle Road, Suite 9-10
Smithtown, NY 11787
Phone: None
• Fax: None
Patient: Brad Pitt
DOB: 12/10/1971
• SSN: ***-**-3526
Requested Records
| Record | Status |
|---|---|
| Billing | Fulfilled |
| Film Breakdown | Fulfilled |
| Medical | Fulfilled |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_157_20250915210018.pdf | 2025-09-15 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 9/15/2025 8:59 PM | ||
| Generation Dept - Printed Packet | 9/16/2025 | Yes | 9/16/2025 1:01 AM | |
| Sent - Fax to Custodian | 9/16/2025 | Sent Fax to none@concordsends.com. File=D:\RecuperaRSFiles\CaseFiles\95\RequestPackets\Tracking_157_RequestPacket.pdf | No | 9/16/2025 3:38 PM |
| Fax delivery confirmed | 10/15/2025 | Fax delivered (manual) | No | 10/15/2025 5:23 PM |
| Assigned To: | 10/17/2025 | Assigned To: UserNo=1005 [INITIAL] | No | 10/15/2025 5:23 PM |
| Generation Dept - Printed Packet | 10/29/2025 | Yes | 10/29/2025 9:12 PM | |
| Called Facility | Called Dr. Barbara Cartabuke-Mule at None. | Yes | 1/16/2026 4:12 PM | |
| Received - All Records | Received - Records | Yes | 3/1/2026 5:01 AM |
Loading request packet...