Import Eligibility › Patient Detail

ANA D LOPEZ

CIN: VY83005J

Active
Date of Birth: July 5, 1957
Gender: Female
Created: Aug. 13, 2026
Address: 200 E 5TH ST 4J , NEW YORK, NY 10003
Last Updated: Aug. 13, 2026 3:17 PM

Latest Eligibility Snapshot

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