Import Eligibility › Patient Detail

BEVERLY C ARCHER

CIN: ZX07466T

Active
Date of Birth: June 18, 1957
Gender: Female
Created: Aug. 12, 2026
Address: 68 CUMBERLAND WALK 3G , BROOKLYN, NY 11205
Last Updated: Aug. 12, 2026 3:52 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: SRH CHN LEAD HEALTH HOME LLC
Recertification: No
Code 60: No
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Aug. 13, 2026 Eligible — — — A Plus Details - A Plus CIN.csv View