Import Eligibility Patient Detail

MARIA A ANTOINE

CIN: RV80167N

Active
Date of Birth: June 14, 1938
Gender: Female
Created: July 28, 2026
Address: 2802 CLARENDON RD C4 , BKLYN, NY 11226
Last Updated: July 28, 2026 10:59 AM

Latest Eligibility Snapshot

Date of Service: June 12, 2026
Medicaid Eligible: Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification: Yes — June 30, 2027
Code 60: No
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
June 12, 2026 Eligible Expert Census Referrals - CIN_50_Import.csv View