EZ
Emelita Zabalerio
ZE938843 · 11/16/1940 · Updated 05/26/2026
On Hold
Basic Information
| Patient Record Number: | ZE938843 |
| Date of Birth: | 11/16/1940 |
| Age: | 85 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 05/26/2026 06:10 PM |
Contact Information
| Mobile Phone: | (224) 468-6509 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
5300 Birch Bark Drive
Hoffman Estates, IL 60192 Coordinates: 42.0640452, -88.211708
Hoffman Estates, IL 60192 Coordinates: 42.0640452, -88.211708
Home Health Nurse
CAREFORCE HOMEHEALTH
| Phone: | 847-388-0060 |
| Fax: | 630-340-7267 |
| Status: | Active |
Medicare Part B Deductible
Current Year (2024)
| Total Deductible: | $240.00 |
| Remaining: | $0.00 ✓ Deductible Met |
Annual Wellness Visit
Last wellness visit: 05/26/2027
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... | |||||||
Patient On Hold
Hold Reason: No Certification on Practice Fusion
Hold Since: 07/02/2025
Hold Until: Indefinite