Import Eligibility › Patient Detail

(No Name)

CIN: AB12345C

Active

Date of Birth: —

Gender: —

Created: July 26, 2026

Address:

Last Updated: July 26, 2026 1:24 PM

Latest Eligibility Snapshot

Date of Service: July 1, 2026

Medicaid Eligible: No

Coverage: — — —

Plan: —

MCO: —

Recertification: No

NHTD: No

Code 60: No

Surplus: No

Date of Service	Status	Recert	NHTD	Code 60	Surplus	Import	271
July 1, 2026	Ineligible	—	—	—	—	test3.csv	View