Import Eligibility Patient Detail

(No Name)

CIN: QK44450R

Active
Date of Birth:
Gender:
Created: July 26, 2026
Address:
Last Updated: July 26, 2026 10:06 AM

Latest Eligibility Snapshot

Date of Service: July 26, 2026
Medicaid Eligible: No
Coverage: — — —
Plan:
MCO:
Recertification: No
NHTD: No
Code 60: No
Surplus: No

Eligibility History

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