Import Eligibility › Patient Detail

OMAR CHAVEZ

CIN: RN03011U

Active
Date of Birth: Jan. 19, 1956
Gender: Male
Created: Aug. 12, 2026
Address: 35-64 90 ST 1B , JACKSON HEIGHT, NY 11372
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: ANTHEM HP LLC PARTIAL MLTC
Recertification: Yes — Feb. 28, 2027
Code 60: No
S1: Yes
View 271 Response →

Eligibility History

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