Import Eligibility › Patient Detail

DAQUAN GIST

CIN: XG80208C

Active
Date of Birth: Jan. 17, 1990
Gender: Male
Created: Aug. 12, 2026
Address: 360 SHEPHERD AVE 4A , BROOKLYN, NY 11208
Last Updated: Aug. 12, 2026 3:56 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 — Dec. 31, 2026
Code 60: No
S1: No
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