DORA HERNANDEZ
CIN: ZK93187E
Date of Birth: Jan. 22, 1944
Gender: Female
Created: July 28, 2026
Address:
609 METROPOLITAN AVENUE 4C
, BROOKLYN, NY 11211
Last Updated: July 28, 2026 11:00 AM
Latest Eligibility Snapshot
Date of Service: June 12, 2026
Medicaid Eligible:
Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification:
Yes — Nov. 30, 2026
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| June 12, 2026 | Eligible | ✓ | — | — | Expert Census Referrals - CIN_50_Import.csv | View |