Import Eligibility › Patient Detail

GWENDOLYN FAULKNER

CIN: XU10534A

Active
Date of Birth: Jan. 1, 1932
Gender: Female
Created: Aug. 12, 2026
Address: 109-49 172TH ST , JAMAICA, NY 11433
Last Updated: Aug. 12, 2026 3:55 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: SENIOR WHOLE HEALTH OF NY PARTIAL
Recertification: Yes — April 30, 2027
Code 60: No
S1: Yes

Eligibility History

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