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LS841544 · 04/27/1948 · Updated 03/12/2026
Active PF
Basic Information
Patient Record Number: LS841544
Date of Birth: 04/27/1948
Age: 77
Sex: male
SSN: N/A
Medicare Number: N/A
Last Updated: 03/12/2026 07:10 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: 02/05/2026
Address Information
3250 S WENTWORTH AVE APT 211
APT 211
Chicago, IL 60616
Coordinates: 41.8350883, -87.631866
Home Health Nurse
SYMMETRIX HOME HEALTHCARE
Phone: 847-430-6770
Fax: 847-430-6771
Status: Active
Medicare Part B Deductible
Current Year (2026)
Total Deductible: $283.00
Remaining: $283.00
Last updated: 02/03/2026
Annual Wellness Visit
Last wellness visit: 02/05/2027
Certifications
06/09/2025 - 08/07/2025
Expired
SOC: 04/10/2025
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
06/09/2025 08/07/2025 Expired N/A SOC: 04/10/2025
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 6c38ae14-ff27-4624-8...
Linked At: 01/14/2026 18:44
Stored Transcripts

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Encounter History
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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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