Import Eligibility › Patient Detail

MARK B RALIN

CIN: WN17475Z

Active
Date of Birth: July 26, 1950
Gender: Male
Created: Aug. 13, 2026
Address: 99-72 66TH ROAD 5A , REGO PARK, NY 11374
Last Updated: Aug. 13, 2026 3:12 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 — June 30, 2027
Code 60: No
S1: Yes

Eligibility History

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