Import Eligibility › Patient Detail

CESAR A ORTIZREA

CIN: XR39624D

Active
Date of Birth: March 29, 1945
Gender: Male
Created: Sept. 14, 2026
Address: 4059 JUNCTION BLVD 2FL , CORONA, NY 11368
Last Updated: Sept. 14, 2026 7:17 AM

Latest Eligibility Snapshot

Date of Service: Sept. 14, 2026
Medicaid Eligible: Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: SRH CHN LEAD HEALTH HOME LLC
Recertification: Yes — Oct. 31, 2026
Code 60: No
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Sept. 14, 2026 Eligible ✓ — — Client Details - October_Month_CINs.csv View