RS

RITA SMITH

SR763118 · 07/29/1942 · Updated 03/02/2026
Active PF
Basic Information
Patient Record Number: SR763118
Date of Birth: 07/29/1942
Age: 83
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 03/02/2026 08:13 PM
Contact Information
Mobile Phone: (312) 286-1214
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 02/26/2026
Address Information
7249 S Vernon Ave.
Chicago, IL 60619
Coordinates: 41.7625007, -87.6136736
Home Health Nurse
CARE CONNECT HOME HEALTHCARE
Phone: 773-283-8458
Fax: 773-283-8488
Status: Active
Medicare Part B Deductible
Current Year (2026)
Total Deductible: $283.00
Remaining: $283.00
Last updated: 03/03/2026
Annual Wellness Visit
Overdue
(15 days ago)
Next Due Date: 03/01/2026
Certifications
04/12/2025 - 06/10/2025
Expired
soc 12/13/2024
02/11/2025 - 04/11/2025
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
04/12/2025 06/10/2025 Expired N/A soc 12/13/2024
02/11/2025 04/11/2025 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 0ed1e6df-8b58-4af7-9...
Linked At: 01/14/2026 18:47
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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