Import Eligibility › Patient Detail

MANUEL MEDINA

CIN: WE13903X

Active
Date of Birth: June 18, 1992
Gender: Male
Created: Aug. 12, 2026
Address: 188 CHESTNUT ST 2ND F , BROOKLYN, NY 11208
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: ANTHEM HP LLC PARTIAL MLTC
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