Tracking Details - #72

Tracking Information
Case No: 50
Order Date: 07/30/2025
Due Date: 08/30/2025
Template Packet: HIPAA Authorization Packet
Scope:
Location: Stony Brook Emergency
100 Nicolls Rd.
Stony Brook, NY 11794
Phone: (631) 444-2499 • Fax: (631) 444-3919
Patient: Margot Robbie
DOB: 02/24/1963 • SSN: ***-**-9278
Stony Brook Emergency
100 Nicolls Rd.
Stony Brook, NY 11794
Phone: (631) 444-2499 • Fax: (631) 444-3919
Margot Robbie
DOB: 02/24/1963 • SSN: ***-**-9278
Requested Records
Record Status
Billing Closed
Films Closed
Medical Closed
File Name Uploaded Date Uploaded By
HIPAA_Authorization_72_20251007215647.pdf 2025-10-07
HIPAA_Authorization_72_20251007215631.pdf 2025-10-07
Tracking Step Log
Step Due Date Remarks Publish Entered
Received Order, In Progress Yes 7/30/2025 9:36 PM
Generation Dept - Printed Packet 10/8/2025 Yes 10/8/2025 1:57 AM
Received Email From Custodian test with attachment Yes 10/8/2025 3:09 AM
Received Email From Custodian sadfasfd Recupera Filings Filings@recuperars.com Phone: (212) 580-1191 Fax: (212) 213-1715 Recupera Record Retrieval Services 40 Wall Street, 28th Floor New York, NY 10005 Yes 10/21/2025 1:43 PM
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