Import Eligibility › Patient Detail

RITA C ROMAN

CIN: XD99296K

Active
Date of Birth: July 21, 1959
Gender: Female
Created: Aug. 13, 2026
Address: 715 W 172ND STREET 41 , NEW YORK, NY 10032
Last Updated: Aug. 13, 2026 3:14 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC MAP
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