Import Eligibility › Patient Detail

PEDRO H CARABALLO

CIN: UG31883A

Active
Date of Birth: Sept. 1, 1964
Gender: Male
Created: Aug. 12, 2026
Address: 429 NEW JERSEY AVE 2F , BROOKLYN, NY 11207
Last Updated: Aug. 12, 2026 3:53 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: MONTEFIORE MEDICAL CENTER
Recertification: No
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