Import Eligibility › Patient Detail

RAMONA C JIMENEZ

CIN: XS84280Q

Active
Date of Birth: Nov. 20, 1956
Gender: Female
Created: Aug. 13, 2026
Address: 1719 CORNELIA ST 1R , RIDGEWOOD, NY 11385
Last Updated: Aug. 13, 2026 3:11 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 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. 14, 2026 Eligible — — — Expert Census Referrals - CIN_IMPORT (1).csv View