Eligibility Response Detail

CIN: KB89242V

Date of Service: Aug. 6, 2026

Submitted: Aug. 9, 2026 3:50 PM

Payload ID: c1ae4f9e-8faf-4244-8e99-1467451f5589

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 9, 2026 3:50 PM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1950*|*00501*305031552*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1950*031552*X*005010X279A1~ST*270*1552*005010X279A1~BHT*0022*13*202608091950000001*20260809*1950~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*202608091950000001*00000000ND~NM1*IL*1******MI*KB89242V~EQ*30~DTP*291*D8*20260806~SE*13*1552~GE*1*031552~IEA*1*305031552~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1550*^*00501*232711419*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1550*232711419*X*005010X231A1~ST*999*232711419*005010X231A1~AK1*HS*031552*005010X279A1~AK9*R*1*1*0*6~SE*4*232711419~GE*1*232711419~IEA*1*232711419~