Import Eligibility › Patient Detail

IVAN MEDVID

CIN: XT23575P

Active
Date of Birth: Nov. 17, 1940
Gender: Male
Created: Aug. 13, 2026
Address: 155 BEACH 19TH ST ST 8B , FAR ROCKAWAY, NY 11691
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: Yes — Sept. 30, 2026
Code 60: No
S1: No
View 271 Response →

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Aug. 14, 2026 Eligible ✓ — — Expert Census Referrals - CIN_IMPORT (1).csv View