Import Eligibility › Patient Detail

TANIA A JIMENEZ

CIN: XC70227J

Active
Date of Birth: July 16, 1983
Gender: Female
Created: Aug. 12, 2026
Address: 574 GREENE AVENUE 4B , BROOKLYN, NY 11216
Last Updated: Aug. 12, 2026 3:58 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: Yes — Dec. 31, 2026
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