Tracking Details - #3310
Tracking Information
Case No: 3129
Order Date:
01/29/2026
Due Date:
—
Template Packet: New York HIPAA Authorization Packet
Scope:
—
Location: 1-800 Flowers
Attn: Human Resources
1 Old Country Road, Suite 500
Carle Place, NY 11514
Phone: 516-739-3083
• Fax: 516-237-4543
Patient: Hugh Jackman
DOB: 11/11/1950
• SSN: ***-**-4516
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_3310_20260129210529.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=1005 [INITIAL] | No | 2/3/2026 12:37 AM |
| Called Facility — Left Voice Mail | 3/5/2026 | Called 1-800 Flowers at 516-739-3083 but after 7 rings, I was sent to voicemail. Left a voicemail stating Let us know if you received the fax we sent on 2-3-26. | Yes | 2/26/2026 9:33 PM |
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