Import Eligibility Patient Detail

MANUEL MATOSCUEVAS

CIN: SZ59034W

Active
Date of Birth: May 10, 1952
Gender: Male
Created: July 26, 2026
Address: 599 WEST 176TH STREET 24 , NEW YORK, NY 10033
Last Updated: July 26, 2026 10:06 AM

Latest Eligibility Snapshot

Date of Service: July 26, 2026
Medicaid Eligible: Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification: Yes — Dec. 31, 2026
NHTD: No
Code 60: No
Surplus: Yes

Eligibility History

Date of Service Status Recert NHTD Code 60 Surplus Import 271
July 26, 2026 Eligible Expert Census Referrals - CIN_IMPORT.csv View