Import Eligibility › Patient Detail

HALYNA KULEBA

CIN: RY70158R

Active
Date of Birth: July 3, 1953
Gender: Female
Created: Aug. 9, 2026
Address: 1411 W 4TH STREET 6D , BROOKLYN, NY 11204
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: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification: Yes — Sept. 30, 2026
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_Aug_6_Rejected.csv View
Aug. 6, 2026 Eligible ✓ — — Just care Census ( Prem) - Just_Care_Aug_6_Rejected.csv View