TB
THOMAS BROCK
BT199390 · 07/21/1949 · Updated 01/16/2026
On Hold
PF
Basic Information
| Patient Record Number: | BT199390 |
| Date of Birth: | 07/21/1949 |
| Age: | 76 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 01/16/2026 07:13 PM |
Contact Information
| Mobile Phone: | (773) 289-7071 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
Address Information
4952 W THOMAS ST.
624
Chicago, IL 60651 Coordinates: 41.901308, -87.75041709999999
624
Chicago, IL 60651 Coordinates: 41.901308, -87.75041709999999
Home Health Nurse
COMMUNITY CARE HOME HEALTH SERVICES
| Phone: | 708-410-2601 |
| Fax: | 708-410-2605 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Certifications
No certifications found
Discharge History
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Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient Documents
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Practice Fusion Link
Linked
| PF GUID: | d9157e0b-5352-4729-b... |
| Linked At: | 01/14/2026 18:45 |
Stored Transcripts
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Encounter History
| Date | Type | Provider | Chief Complaint | Status | Actions |
|---|---|---|---|---|---|
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Total Claims-
Total Paid-
Denials-
Payment RateRemittance Claims
| Service Date | Procedure | Provider | Billed | Allowed | Paid | Status | Remit Date |
|---|---|---|---|---|---|---|---|
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Patient On Hold
Hold Reason: no 485 in PF
Hold Since: 07/03/2025
Hold Until: Indefinite