Import Eligibility › Patient Detail

CHARLES A DORE

CIN: NS54933A

Active
Date of Birth: Feb. 3, 1940
Gender: Male
Created: Aug. 12, 2026
Address: 1770 BRUCKNER BLVD 4G , BRONX, NY 10473
Last Updated: Aug. 12, 2026 3:55 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

Eligibility History

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