ANA E GOMEZGOMEZ
CIN: ZS55742T
Date of Birth: Oct. 10, 1937
Gender: Female
Created: July 28, 2026
Address:
173 W W 140TH ST ST 3C
, NEW YORK, NY 10030
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 — March 31, 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 |