Eligibility Response Detail

Benefit Records (EB)

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1948*|*00501*304899392*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1948*899392*X*005010X279A1~ST*270*9392*005010X279A1~BHT*0022*13*202608091948000001*20260809*1948~HL*1**20*1~NM1*PR*2*NYSDOH*****PI*EMEDNY~HL*2*1*21*1~NM1*1P*2*MEDICAID PLANNING GROUP CORP*****SV*08046628~PRV*PE*PXC*251B00000X~HL*3*2*22*0~TRN*1*202608091948000001*00000000ND~NM1*IL*1******MI*WC17361X~EQ*30~DTP*291*D8*20260806~SE*13*9392~GE*1*899392~IEA*1*304899392~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1548*^*00501*312007230*0*P*|~GS*HB*EMEDNYREL*00ND*20260809*154815*312007230*X*005010X279A1~ST*271*312007230*005010X279A1~BHT*0022*11*202608091948000001*20260809*154815~HL*1**20*1~NM1*PR*2*NYSDOH*****FI*141797357~PER*IC*EMEDNY PROVIDER SERVICES*TE*8003439000*UR*www.emedny.org~HL*2*1*21*1~NM1*1P*2*MEDICAID PLANNING GROUP CORP*****SV*08046628~HL*3*2*22*0~TRN*2*202608091948000001*00000000ND~NM1*IL*1*GORELIK*MASHA****MI*WC17361X~N3*1656 E 19TH ST                5C~N4*BROOKLYN*NY*11229~DMG*D8*19320720*F~DTP*472*D8*20260809~DTP*346*D8*20260801~DTP*102*D8*20251201~EB*U*IND*30**ELIGIBLE PCP~MSG*PD~MSG*CNTY CD=66 5H9~LS*2120~NM1*Y2*2*ELDERSERVE HEALTH INC MLTCP*****PI*EH~N3*80 W 225TH ST FL 3~N4*BRONX*NY*104637002~PER*IC*PROVIDER SERVICES*TE*8003703600~LE*2120~EB*B*IND*30***29*0~EB*1*IND*82~EB*1*IND*88~EB*R*IND*30~REF*18*3DA3VA8FR11~LS*2120~NM1*P4*2*MEDICARE ABDQMB~LE*2120~SE*34*312007230~GE*1*312007230~IEA*1*312007230~