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KC228309 · 10/02/1941 · Updated 03/09/2026
Active PF
Basic Information
Patient Record Number: KC228309
Date of Birth: 10/02/1941
Age: 84
Sex: male
SSN: N/A
Medicare Number: N/A
Last Updated: 03/09/2026 07:12 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: 11/12/2025
Address Information
300 W 23RD ST.
Unit 512
Chicago, IL 60616
Coordinates: 41.8511439, -87.6353343
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
Last wellness visit: 07/01/2026
Certifications
05/12/2025 - 07/10/2025
Expired
SOC: 03/13/2025
03/13/2025 - 05/11/2025
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
05/12/2025 07/10/2025 Expired N/A SOC: 03/13/2025
03/13/2025 05/11/2025 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: c5888792-1ad7-4012-b...
Linked At: 01/14/2026 17:54
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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