EA

ESPERANZA ANTAZO

AE425958 · 03/15/1941 · Updated 03/09/2026
Active PF
Basic Information
Patient Record Number: AE425958
Date of Birth: 03/15/1941
Age: 85
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 03/09/2026 07:12 PM
Contact Information
Mobile Phone: (773) 934-2982
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 03/05/2026
Address Information
2815 W BYRON ST
APT 409
Chicago, IL 60618
Coordinates: 41.9518356, -87.6988102
Home Health Nurse
GOLDEN HAVEN HOME HEALTH
Phone: 708-358-1240
Fax: 708-358-1267
Status: Active
Medicare Part B Deductible
Current Year (2026)
Total Deductible: $283.00
Remaining: $90.13
Last updated: 03/06/2026
Annual Wellness Visit
Last wellness visit: 11/01/2026
Certifications
04/27/2025 - 06/25/2025
Expired
02/26/2025 - 04/26/2025
Expired
SOC 02/26/2025
Discharge History
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No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
04/27/2025 06/25/2025 Expired N/A N/A
02/26/2025 04/26/2025 Expired N/A SOC 02/26/2025
Patient Documents
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Practice Fusion Link
Linked
PF GUID: d6fce96b-b36c-4295-9...
Linked At: 01/14/2026 18:45
Stored Transcripts

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Encounter History
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Total Claims

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Total Paid

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Denials

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Payment Rate
Remittance Claims
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