Import Eligibility › Patient Detail

MERCEDES CRUZPERDOMO

CIN: XJ12539F

Active
Date of Birth: Nov. 8, 1953
Gender: Female
Created: Aug. 13, 2026
Address: 516 WEST 167TH STREET 7 , NEW YORK, NY 10032
Last Updated: Aug. 13, 2026 3:16 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: NORTH SHORE UNIVERSITY HOSPITAL
Recertification: Yes — May 31, 2027
Code 60: No
S1: Yes

Eligibility History

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