Import Eligibility › Patient Detail

ZHANNA KOTLYAR

CIN: WG99382V

Active
Date of Birth: March 10, 1941
Gender: Female
Created: Aug. 9, 2026
Address: 3405 NEPTUNE AVE 2147 , BROOKLYN, NY 11224
Last Updated: Aug. 9, 2026 4:06 PM

Latest Eligibility Snapshot

Date of Service: Aug. 12, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: MA Eligible
MCO: —
Recertification: No
Code 60: Yes
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_Aug_6_Rejected.csv View
Aug. 6, 2026 Eligible — ✓ — Just care Census ( Prem) - Just_Care_Aug_6_Rejected.csv View