RS
RITA SMITH
SR763118 · 07/29/1942 · Updated 05/08/2026
Active
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: | 05/08/2026 07:02 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: | Never |
| Provider: | Kalpana Mutyala |
Address Information
7249 S Vernon Ave.
Chicago, IL 60619 Coordinates: 41.7625007, -87.6136736
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 |
Annual Wellness Visit
Last wellness visit: 05/05/2027
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
Loading appointment history...
Patient Documents
Loading documents...
-
Total Claims-
Total Paid-
Denials-
Payment RateRemittance Claims
| Service Date | Procedure | Provider | Billed | Allowed | Paid | Status | Remit Date |
|---|---|---|---|---|---|---|---|
| Loading billing data... | |||||||