CC

CHAI CHAN

CC609058 · 04/07/1935 · Updated 02/17/2026
Active PF
Basic Information
Patient Record Number: CC609058
Date of Birth: 04/07/1935
Age: 90
Sex: male
SSN: N/A
Medicare Number: N/A
Last Updated: 02/17/2026 07:31 PM
Contact Information
Mobile Phone: (312) 912-5432
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 07/17/2024
Address Information
3241 S. Lowe Street
Chicago, IL 60616
Coordinates: 41.83505, -87.6422924
Home Health Nurse
SYMMETRIX HOME HEALTHCARE
Phone: 847-430-6770
Fax: 847-430-6771
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Certifications
02/18/2024 - 04/17/2024
Expired
12/20/2023
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
02/18/2024 04/17/2024 Expired N/A 12/20/2023
Patient Documents
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Practice Fusion Link
Linked
PF GUID: fdc57c7d-fa1b-4bf1-9...
Linked At: 02/16/2026 14:48
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
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