Import Eligibility › Patient Detail

RAMON LOPEZ

CIN: RX83283N

Active
Date of Birth: April 2, 1947
Gender: Male
Created: Aug. 12, 2026
Address: 507 W 170TH ST 22 , NEW YORK, NY 10032
Last Updated: Aug. 12, 2026 3:59 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VILLAGE SENIOR SVC CORP PARTIAL LTC
Recertification: Yes — March 31, 2027
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