Import Eligibility › Patient Detail

SAMUEL PEREZ

CIN: YU12135J

Active
Date of Birth: Nov. 24, 1946
Gender: Male
Created: Aug. 13, 2026
Address: 2405 1ST AVENUE AVENUE 5E , NEW YORK, NY 10035
Last Updated: Aug. 13, 2026 3:15 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC HOMEFIRST PARTIAL LTC
Recertification: Yes — Feb. 28, 2027
Code 60: No
S1: No
View 271 Response →

Eligibility History

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