Tracking Details - #76
Tracking Information
Case No: 45
Order Date:
08/01/2025
Due Date:
—
Template Packet: HIPAA Authorization Packet
Scope:
—
Location: Southwest Suffolk Medical
300 East Main Street, Suite 2
Smithtown, NY 11787
Phone: None
• Fax: None
Patient: Joaquin Phoenix
DOB: 12/13/2004
• SSN: ***-**-1262
Requested Records
| Record | Status |
|---|---|
| CT Films | Fulfilled |
| File Name | Uploaded Date | Uploaded By |
|---|---|---|
| HIPAA_Authorization_76_20250927112020.pdf | 2025-09-27 |
Tracking Step Log
| Step | Due Date | Remarks | Publish | Entered |
|---|---|---|---|---|
| Received Order, In Progress | Yes | 8/1/2025 2:06 AM | ||
| 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\45\RequestPackets\Tracking_76_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=1006 [INITIAL] | No | 11/9/2025 11:22 PM |
| Received Invoice From Custodian | 1/21/2026 | Yes | 1/21/2026 6:01 AM | |
| Received - All Records | Received - Records | Yes | 2/26/2026 10:05 PM |
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