Import Eligibility › Patient Detail

HORTENCIA PEREZ

CIN: SX30699X

Active
Date of Birth: Nov. 11, 1940
Gender: Female
Created: Aug. 12, 2026
Address: 619 W 136TH ST , NEW YORK, NY 10031
Last Updated: Aug. 12, 2026 4:01 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 — Feb. 28, 2027
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