Import Eligibility › Patient Detail

YELENA ERMIDI

CIN: SC20152K

Active
Date of Birth: June 15, 1940
Gender: Female
Created: Aug. 13, 2026
Address: 1925 SEAGIRT BLVD 15M , FAR ROCKAWAY, NY 11691
Last Updated: Aug. 13, 2026 3:10 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification: No
Code 60: No
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Aug. 14, 2026 Eligible — — — Expert Census Referrals - CIN_IMPORT (1).csv View