Tracking Details - #74
Tracking Information
Case No: 50
Order Date:
07/31/2025
Due Date:
09/16/2025
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Dr. Timothy Growth
994 West Jericho Turnpike
Smithtown, NY 11787
Phone: None
• Fax: None
Patient: Margot Robbie
DOB: 02/24/1963
• SSN: ***-**-9278
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| Films | Pending |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_74_20251003165324.pdf | 2025-10-03 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 7/31/2025 9:19 PM | ||
| Generation Dept - Printed Packet | 10/3/2025 | Yes | 10/3/2025 8:53 PM | |
| Fax sent | 1/30/2026 | No | 1/30/2026 2:15 AM | |
| Fax delivery confirmed | 2/3/2026 | Fax delivered (manual) | No | 2/3/2026 12:32 AM |
| Assigned To: | 2/5/2026 | Assigned To: UserNo=1005 [INITIAL] | No | 2/3/2026 12:32 AM |
| Called Facility | 3/9/2026 | Called Dr. Timothy Growth at None. Facility staff advised sending info today. | Yes | 3/2/2026 4:17 PM |
| Fax sent | 3/2/2026 | Fax sent [RC:2955817992007] | Yes | 3/2/2026 4:17 PM |
| Sent Custodian additional Fax of Request Packet | 3/9/2026 | Faxed Request Packet to 2122131715 (RequestNo 2157) | Yes | 3/2/2026 4:17 PM |
| Assigned To: | 3/11/2026 | Assigned To: UserNo=1005 [INITIAL] | No | 3/9/2026 2:33 AM |
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