Import Eligibility › Patient Detail

ALTAGRACIA PEGUERODEGONZAL

CIN: QF51102E

Active
Date of Birth: Sept. 28, 1947
Gender: Female
Created: Aug. 13, 2026
Address: 2330 WASHINGTON AVE 1C , BRONX, NY 10458
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: SRH CHN LEAD HEALTH HOME LLC
Recertification: Yes — Aug. 31, 2026
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