Import Eligibility › Patient Detail

JENNIFER ROACH

CIN: VV36479R

Active
Date of Birth: Feb. 18, 1952
Gender: Female
Created: Aug. 12, 2026
Address: 419 CHAUNCEY STREET 3B , BROOKLYN, NY 11233
Last Updated: Aug. 12, 2026 4:02 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC MAP
Recertification: Yes — April 30, 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