Import Eligibility › Patient Detail

EDWIN RIOS

CIN: ZM05006J

Active
Date of Birth: March 14, 1964
Gender: Male
Created: Aug. 12, 2026
Address: 193 STOCKHOLKM STREET 2L , BROOKLYN, NY 11237
Last Updated: Aug. 12, 2026 4:02 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: SRH CHN LEAD HEALTH HOME LLC
Recertification: Yes — Nov. 30, 2026
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