Import Eligibility Patient Detail

MARIA FUENTES

CIN: YR12712F

Active
Date of Birth: Aug. 13, 1974
Gender: Female
Created: July 28, 2026
Address: 916 E 179TH ST 1C , BRONX, NY 10460
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: ANTHEM HP LLC PARTIAL MLTC
Recertification: Yes — Dec. 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