Import Eligibility Patient Detail

MARIANO AVILES

CIN: VP75369Z

Active
Date of Birth: Feb. 2, 1936
Gender: Male
Created: July 28, 2026
Address: 609 METROPOLITAN AVE 4C , BROOKLYN, NY 11211
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 — Oct. 31, 2026
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