Import Eligibility › Patient Detail

RAMONA A VICENTE

CIN: TC77247K

Active
Date of Birth: Oct. 9, 1957
Gender: Female
Created: Aug. 12, 2026
Address: 507 W 172 ST 4A , NEW YORK, NY 10032
Last Updated: Aug. 12, 2026 4:05 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: 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