Import Eligibility Patient Detail

MARIA C JIMENEZ

CIN: KZ18165P

Active
Date of Birth: Oct. 2, 1956
Gender: Female
Created: July 28, 2026
Address: 564 WEST 188 STREET 2A , NEW YORK, NY 10040
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: COORDINATED BEHAVIORAL CARE INC
Recertification: Yes — May 31, 2027
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