Import Eligibility Patient Detail

TATYANA BRAGINSKIY

CIN: SS58072N

Active
Date of Birth: Feb. 6, 1959
Gender: Female
Created: July 26, 2026
Address: 40 BRIGHTON FIRST RD 11J , BROOKLYN, NY 11235
Last Updated: July 26, 2026 10:06 AM

Latest Eligibility Snapshot

Date of Service: July 26, 2026
Medicaid Eligible: Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification: No
NHTD: No
Code 60: No
Surplus: Yes

Eligibility History

Date of Service Status Recert NHTD Code 60 Surplus Import 271
July 26, 2026 Eligible Expert Census Referrals - CIN_IMPORT.csv View
July 26, 2026 Eligible Expert Census Referrals - CIN_IMPORT.csv View