Import Eligibility › Patient Detail

DAVID O BRASUELL

CIN: UU16158F

Active
Date of Birth: Feb. 6, 1954
Gender: Male
Created: Aug. 12, 2026
Address: 134 AVENUE D 6B , NEW YORK, NY 10009
Last Updated: Aug. 12, 2026 3:52 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification: Yes — Nov. 30, 2026
Code 60: No
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Aug. 13, 2026 Eligible ✓ — — A Plus Details - A Plus CIN.csv View