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TS489203 · 11/08/1954 · Updated 03/11/2026
Active PF
Basic Information
Patient Record Number: TS489203
Date of Birth: 11/08/1954
Age: 71
Sex: male
SSN: N/A
Medicare Number: N/A
Last Updated: 03/11/2026 06:20 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: 03/13/2026
Address Information
3146 S Wentworth ave
apt 902
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
Last wellness visit: 10/01/2026
Certifications
04/29/2025 - 06/27/2025
Expired
soc 02/28/2025
02/28/2025 - 04/28/2025
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
04/29/2025 06/27/2025 Expired N/A soc 02/28/2025
02/28/2025 04/28/2025 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 5522ecd5-cb02-4c2e-9...
Linked At: 01/14/2026 18:45
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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