Import Eligibility Patient Detail

PETRA CARTACIO

CIN: ZW51747Y

Active
Date of Birth: June 29, 1946
Gender: Female
Created: July 26, 2026
Address: 5085 BROADWAY AVENUE 3C , NEW YORK, NY 10034
Last Updated: July 26, 2026 10:06 AM

Latest Eligibility Snapshot

Date of Service: July 27, 2026
Medicaid Eligible: Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification: No
NHTD: No
Code 60: No
Surplus: Yes

Eligibility History

Date of Service Status Recert NHTD Code 60 Surplus Import 271
July 27, 2026 Eligible Expert Census Referrals - CIN_50_Import.csv View
July 26, 2026 Eligible Expert Census Referrals - CIN_IMPORT.csv View
July 27, 2026 Eligible Expert Census Referrals - CIN_IMPORT.csv View
July 27, 2026 Eligible Expert Census Referrals - CIN_50_Import.csv View
July 27, 2026 Eligible Expert Census Referrals - CIN_50_Import.csv View
July 26, 2026 Eligible Expert Census Referrals - CIN_IMPORT.csv View