Import Eligibility Patient Detail

RICARDO MELLA

CIN: ZT06454X

Active
Date of Birth: Nov. 4, 1962
Gender: Male
Created: July 26, 2026
Address: 1124 STRATFORD AVENUE 3E , BRONX, NY 10472
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: COORDINATED BEHAVIORAL CARE INC
Recertification: Yes — Aug. 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