Import Eligibility › Patient Detail

JOSE N DELIZ

CIN: QQ31789R

Active
Date of Birth: Oct. 29, 1958
Gender: Male
Created: Aug. 13, 2026
Address: 996 ALDUS STREET 4C , BRONX, NY 10459
Last Updated: Aug. 13, 2026 3:16 PM

Latest Eligibility Snapshot

Date of Service: Sept. 14, 2026
Medicaid Eligible: Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: SRH CHN LEAD HEALTH HOME LLC
Recertification: Yes — Oct. 31, 2026
Code 60: No
S1: Yes

Eligibility History

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