Import Eligibility › Patient Detail

SEMYON GUTMAN

CIN: XN19972P

Active
Date of Birth: Nov. 18, 1936
Gender: Male
Created: Aug. 13, 2026
Address: 1202 AVE K 2F , BROOKLYN, NY 11230
Last Updated: Aug. 13, 2026 3:22 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: MA Eligible
MCO: —
Recertification: No
Code 60: Yes
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