MA

MUJTABA ARIFA

AM210861 · 08/24/1935 · Updated 02/20/2026
On Hold PF
Basic Information
Patient Record Number: AM210861
Date of Birth: 08/24/1935
Age: 90
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 02/20/2026 06:18 PM
Contact Information
Mobile Phone: (847) 208-8625
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 02/19/2026
Address Information
3020 35TH St.
Oak Brook, IL 60523
Coordinates: 41.8245683, -87.9931769
Home Health Nurse
Home Health Providers, PC
Phone: N/A
Fax: (708) 444-8268
Status: Active
Medicare Part B Deductible
Current Year (2026)
Total Deductible: $283.00
Remaining: $283.00
Last updated: 02/21/2026
Annual Wellness Visit
Last wellness visit: 01/21/2027
Certifications

No certifications found

Discharge History
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No discharge history

Patient Actions
Appointment History
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485 Certifications

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Patient Documents
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Practice Fusion Link
Linked
PF GUID: dcb24b7d-a65e-4669-a...
Linked At: 01/14/2026 18:46
Stored Transcripts

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Encounter History
Date Type Provider Chief Complaint Status Actions
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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
Service Date Procedure Provider Billed Allowed Paid Status Remit Date
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Patient On Hold
Hold Reason: No Certification on Practice Fusion
Hold Since: 07/02/2025
Hold Until: Indefinite