Tracking Details - #42
Tracking Information
Case No: 11
Order Date:
03/07/2025
Due Date:
10/11/2025
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: CMS Centers for Medicare & Medicaid Services - New York Regional Office
26 Federal Plaza, Room 38-130
New York, NY 10278
Phone: DO NOT CALL
• Fax: BULK - PATRICIA
Patient: Meryl Streep
DOB: 09/24/1975
• SSN: ***-**-3284
Requested Records
No records requested.
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_42_20250927033916.pdf | 2025-09-27 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Generation Dept - Printed Packet | 9/27/2025 | Yes | 9/27/2025 7:40 AM | |
| Sent - Fax to Custodian | 9/27/2025 | Sent Fax to none@concordsends.com. File=D:\RecuperaRSFiles\CaseFiles\11\RequestPackets\Tracking_42_RequestPacket.pdf | No | 9/27/2025 7:40 AM |
| Fax delivery confirmed | 10/15/2025 | Fax delivered (manual) | No | 10/15/2025 7:03 PM |
| Assigned To: | 10/17/2025 | Assigned To: UserNo=1006 [INITIAL] | No | 10/15/2025 7:03 PM |
| Fax sent | 11/22/2025 | Fax sent [RC:2734732633007] | No | 11/22/2025 3:32 AM |
| Sent Custodian additional Fax of Request Packet | Faxed Request Packet to 2122131715 (RequestNo 2136) | Yes | 11/22/2025 3:32 AM | |
| Order Closed | Yes | 11/28/2025 2:31 PM | ||
| Assigned To: | 2/5/2026 | Assigned To: UserNo=1006 [INITIAL] | No | 2/3/2026 12:32 AM |
| Received - All Records | Received - Records | Yes | 3/2/2026 4:15 PM |
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