AD
ANSREL DEMIRJIAN
DA309805 · 08/29/1936 · Updated 04/28/2026
On Hold
Basic Information
| Patient Record Number: | DA309805 |
| Date of Birth: | 08/29/1936 |
| Age: | 89 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/28/2026 07:39 PM |
Contact Information
| Mobile Phone: | (312) 301-6778 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
15 Winding Canyon Ct.
Algonquin, IL 60102 Coordinates: 42.1535948, -88.27188819999999
Algonquin, IL 60102 Coordinates: 42.1535948, -88.27188819999999
Home Health Nurse
SELF REFERRAL
| Phone: | N/A |
| Fax: | N/A |
| Status: | Active |
Medicare Part B Deductible
Current Year (2026)
| Total Deductible: | $283.00 |
| Remaining: | $283.00 |
Annual Wellness Visit
Last wellness visit: 04/28/2027
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
Loading appointment history...
Patient Documents
Loading documents...
-
Total Claims-
Total Paid-
Denials-
Payment RateRemittance Claims
| Service Date | Procedure | Provider | Billed | Allowed | Paid | Status | Remit Date |
|---|---|---|---|---|---|---|---|
| Loading billing data... | |||||||
Patient On Hold
Hold Reason: self referral
Hold Since: 06/20/2025
Hold Until: Indefinite