Import Eligibility Patient Detail

JOSE J DILONE

CIN: RT76238J

Active
Date of Birth: Dec. 21, 1954
Gender: Male
Created: July 28, 2026
Address: 626 W 165 STREET 56 , NEW YORK, NY 10032
Last Updated: July 28, 2026 11:00 AM

Latest Eligibility Snapshot

Date of Service: June 12, 2026
Medicaid Eligible: Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: COORDINATED BEHAVIORAL CARE INC
Recertification: No
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