Import Eligibility › Patient Detail

JUAN A CARMONA

CIN: VT72304K

Active
Date of Birth: June 26, 1959
Gender: Male
Created: Sept. 14, 2026
Address: 94 16 75 STREET , QUEENS, NY 11416
Last Updated: Sept. 14, 2026 7:18 AM

Latest Eligibility Snapshot

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