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LY439472 · 05/13/1944 · Updated 03/11/2026
Active PF
Basic Information
Patient Record Number: LY439472
Date of Birth: 05/13/1944
Age: 81
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 03/11/2026 06:20 PM
Contact Information
Mobile Phone: (312) 532-0590
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 10/03/2025
Address Information
3146 S Wentworth Ave
APT. 404
Chicago, IL 60616
Coordinates: 41.8368533, -87.63204370000001
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

No wellness visit information available

Certifications
08/14/2025 - 10/12/2025
Expired
02/16/2025 - 04/16/2025
Expired
SOC: 12/18/2024
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
08/14/2025 10/12/2025 Expired N/A N/A
02/16/2025 04/16/2025 Expired N/A SOC: 12/18/2024
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 144f9414-b2b1-4b98-9...
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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