Import Eligibility › Patient Detail

SIXTA PENA

CIN: ZA54737X

Active
Date of Birth: May 7, 1942
Gender: Female
Created: Aug. 13, 2026
Address: 3736 10 AVE APT 9H 9H , NEW YORK, NY 10034
Last Updated: Aug. 13, 2026 3:12 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VNS CHOICE PLUS M/M MAP
Recertification: Yes — Nov. 30, 2026
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