Tracking Details - #75
Tracking Information
Case No: 48
Order Date:
07/31/2025
Due Date:
07/31/2025
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Ambulatory Care Pharmacy
1500 E. Medical Center Drive
Ann Arbor, MI 48109
Phone: None
• Fax: None
Patient: Andrew Garfield
DOB: 10/20/1952
• SSN: ***-**-9685
Requested Records
| Record | Status |
|---|---|
| Billing | Pending |
| Films | Pending |
| Medical | Pending |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_75_20250927112036.pdf | 2025-09-27 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 7/31/2025 10:54 PM | ||
| Generation Dept - Printed Packet | 9/27/2025 | Yes | 9/27/2025 3:21 PM | |
| Sent - Fax to Custodian | 9/27/2025 | Sent Fax to none@concordsends.com. File=D:\RecuperaRSFiles\CaseFiles\48\RequestPackets\Tracking_75_RequestPacket.pdf | No | 9/27/2025 3:22 PM |
| Fax delivery confirmed | 11/9/2025 | Fax delivered (manual) | No | 11/9/2025 11:22 PM |
| Assigned To: | 11/11/2025 | Assigned To: UserNo=1005 [INITIAL] | No | 11/9/2025 11:22 PM |
| Called Facility | Called Ambulatory Care Pharmacy at None. | Yes | 1/16/2026 4:50 PM | |
| Fax sent | 2/28/2026 | Fax sent [RC:2955007420007] | Yes | 2/28/2026 10:03 PM |
| Sent Custodian additional Fax of Request Packet | 3/7/2026 | Faxed Request Packet to 2122131715 (RequestNo 2138) | Yes | 2/28/2026 10:03 PM |
| Called Facility | 3/7/2026 | Called Ambulatory Care Pharmacy at Phone Number. Spoke with Janet. They advised They would send us what we need today. | Yes | 2/28/2026 10:04 PM |
| Assigned To: | 3/11/2026 | Assigned To: UserNo=1005 [INITIAL] | No | 3/9/2026 2:33 AM |
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