Import Eligibility › Patient Detail

ANDREA DUSSAUT

CIN: UK71143F

Active
Date of Birth: April 20, 1930
Gender: Female
Created: Aug. 9, 2026
Address: PO BOX 808 , NEW YORK, NY 10276
Last Updated: Aug. 9, 2026 3:46 PM

Latest Eligibility Snapshot

Date of Service: Aug. 12, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERSERVE HEALTH INC MLTCP
Recertification: No
Code 60: No
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Aug. 12, 2026 Eligible — — — Just care Census ( Prem) - Just_Care_Census_CIN.csv View
Aug. 6, 2026 Eligible — — — Just care Census ( Prem) - Just_Care_Census_CIN.csv View
Aug. 6, 2026 Eligible — — — Just care Census ( Prem) - Just_Care_Census_CIN.csv View