Tracking Details - #3309
Tracking Information
Case No: 3129
Order Date:
01/29/2026
Due Date:
—
Template Packet: New York HIPAA Authorization Packet
Scope:
—
Location: 110 Pharmacy
459 Walt. Whitman Rd.
Melville, NY 11747
Phone: 631-421-5454
• Fax: 631-421-0437
Patient: Hugh Jackman
DOB: 11/11/1950
• SSN: ***-**-4516
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| Films | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_3309_20260129210538.pdf | 2026-01-29 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 1/29/2026 8:34 PM | ||
| Generation Dept - Printed Packet | 1/30/2026 | Yes | 1/30/2026 2:06 AM | |
| Fax sent | 2/3/2026 | No | 2/3/2026 12:36 AM | |
| Fax delivery confirmed | 2/3/2026 | Fax delivered (manual) | No | 2/3/2026 12:37 AM |
| Assigned To: | 2/5/2026 | Assigned To: UserNo=1006 [INITIAL] | No | 2/3/2026 12:37 AM |
| Called Facility | 3/5/2026 | Called 110 Pharmacy at 631-421-5454. Spoke with Jan. They advised Records are on the way. | Yes | 2/26/2026 9:33 PM |
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