Import Eligibility › Patient Detail

HARRIS TOLLESONJR

CIN: MB22890S

Active
Date of Birth: Jan. 3, 1970
Gender: Male
Created: Aug. 12, 2026
Address: 488 EAST 163 STREET 9E , BRONX, NY 10451
Last Updated: Aug. 12, 2026 4:07 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VILLAGE SENIOR SERVICES CORP MAP
Recertification: Yes — Aug. 31, 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