Import Eligibility › Patient Detail

ARDEN JAMES

CIN: WQ54796M

Active
Date of Birth: Oct. 5, 1958
Gender: Male
Created: Aug. 13, 2026
Address: 4-21 27TH AVE 2L , ASTORIA, NY 11102
Last Updated: Aug. 13, 2026 3:26 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: SRH CHN LEAD HEALTH HOME LLC
Recertification: No
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