Tracking Details - #4344
Tracking Information
Case No: 3129
Order Date:
02/04/2026
Due Date:
—
Template Packet: New York HIPAA Authorization Packet
Scope:
—
Location: 1195 SEI U Benefit & Pensions Fund
330 West 42nd Street, 9th Floor
New York, NY 10036
Phone: (646) 473-9200
• Fax: Records.Retention@1199Funds.org
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_3129_20260204071135.pdf | 2026-02-04 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 2/4/2026 7:11 AM |
Loading request packet...