Import Eligibility › Patient Detail

MAYA RAFAELOV

CIN: UP54749Z

Active
Date of Birth: July 1, 1950
Gender: Female
Created: Aug. 13, 2026
Address: 155 BEACH 19TH ST 15A , FAR ROCKAWAY, NY 11691
Last Updated: Aug. 13, 2026 3:23 PM

Latest Eligibility Snapshot

Date of Service: Sept. 14, 2026
Medicaid Eligible: Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: NORTH SHORE UNIVERSITY HOSPITAL
Recertification: Yes — Oct. 31, 2026
Code 60: No
S1: No
View 271 Response →

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