Import Eligibility › Patient Detail

HASHEM ALI

CIN: WZ04847V

Active
Date of Birth: Oct. 17, 1952
Gender: Male
Created: Aug. 13, 2026
Address: 152-05 79TH AVENUE , QUEENS, NY 11367
Last Updated: Aug. 13, 2026 3:25 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

Eligibility History

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