(No Name)
CIN: QK44450R
Date of Birth: —
Gender: —
Created: July 28, 2026
Address:
Last Updated: July 28, 2026 11:00 AM
Latest Eligibility Snapshot
Date of Service: June 12, 2026
Medicaid Eligible:
No
Coverage: — — —
Plan: —
MCO: —
Recertification:
No
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| June 12, 2026 | Ineligible | — | — | — | Expert Census Referrals - CIN_50_Import.csv | View |