TL

TERESA LOPEZ

LT867350 · 05/03/1935 · Updated 03/11/2026
On Hold PF
Basic Information
Patient Record Number: LT867350
Date of Birth: 05/03/1935
Age: 90
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 03/11/2026 06:20 PM
Contact Information
Mobile Phone: (773) 470-5016
Home Phone: (773) 778-5683
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 02/18/2026
Address Information
3535 W 65TH ST CHICAGO
Chicago, IL 60629
Coordinates: 41.7749745, -87.71178689999999
Home Health Nurse
DELTA HOME HEALTH CARE
Phone: 630-472-0521
Fax: 630-472-0122
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit
Overdue
(15 days ago)
Next Due Date: 03/01/2026
Certifications
05/16/2025 - 07/14/2025
Expired
03/17/2025 - 05/15/2025
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
05/16/2025 07/14/2025 Expired N/A N/A
03/17/2025 05/15/2025 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: e24acba7-f536-4f7c-a...
Linked At: 01/14/2026 18:46
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
Service Date Procedure Provider Billed Allowed Paid Status Remit Date
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Patient On Hold
Hold Reason: No 485 in PF
Hold Since: 07/03/2025
Hold Until: Indefinite