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be348164 · 09/10/1942 · Updated 03/11/2026
Active PF
Basic Information
Patient Record Number: be348164
Date of Birth: 09/10/1942
Age: 83
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 03/11/2026 06:20 PM
Contact Information
Mobile Phone: (773) 401-1098
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 02/18/2026
Address Information
6642 S FAIRFIELD AVE
APT 1
Chicago, IL 60619
Coordinates: 41.77238089999999, -87.6922893
Home Health Nurse
ALPHAZETA HEALTHCARE SERVICES
Phone: 773-481-1211
Fax: 773-481-1111
Status: Active
Medicare Part B Deductible
Current Year (2026)
Total Deductible: $283.00
Remaining: $283.00
Last updated: 02/21/2026
Annual Wellness Visit
Last wellness visit: 02/18/2027
Certifications
07/11/2025 - 09/08/2025
Expired
05/12/2025 - 07/10/2025
Expired
SOC 03/13/2025
10/09/2024 - 12/07/2024
Expired
Discharge History
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Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
07/11/2025 09/08/2025 Expired N/A N/A
05/12/2025 07/10/2025 Expired N/A SOC 03/13/2025
10/09/2024 12/07/2024 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 802db199-e1cb-4990-8...
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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