IJ

IDA JOHNSON LEE

JI37804 · 07/27/1957 · Updated 03/02/2026
Active PF
Basic Information
Patient Record Number: JI37804
Date of Birth: 07/27/1957
Age: 68
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 03/02/2026 08:13 PM
Contact Information
Mobile Phone: (708) 407-4968
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 03/02/2026
Address Information
1921 S HARDING AVE
APT 2W
Chicago, IL 60623
Coordinates: 41.8542999, -87.7233097
Home Health Nurse
ALPHAZETA HEALTHCARE SERVICES
Phone: 773-481-1211
Fax: 773-481-1111
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit
Last wellness visit: 03/02/2027
Certifications
07/05/2025 - 09/02/2025
Expired
05/06/2025 - 07/04/2025
Expired
SOC: 03/07/2025
03/07/2025 - 05/05/2025
Expired
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
07/05/2025 09/02/2025 Expired N/A N/A
05/06/2025 07/04/2025 Expired N/A SOC: 03/07/2025
03/07/2025 05/05/2025 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: bc33a2af-7c16-4be9-9...
Linked At: 01/14/2026 17:56
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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