Eligibility Response Detail

CIN: TK03552S

Date of Service: Aug. 6, 2026

Submitted: Aug. 9, 2026 3:51 PM

Payload ID: 7d37772a-fe88-41df-b0c0-a63f1c20298f

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 9, 2026 3:51 PM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1951*|*00501*305072596*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*072596*X*005010X279A1~ST*270*2596*005010X279A1~BHT*0022*13*202608091951000001*20260809*1951~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*202608091951000001*00000000ND~NM1*IL*1******MI*TK03552S~EQ*30~DTP*291*D8*20260806~SE*13*2596~GE*1*072596~IEA*1*305072596~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1551*^*00501*259102962*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*259102962*X*005010X231A1~ST*999*259102962*005010X231A1~AK1*HS*072596*005010X279A1~AK9*R*1*1*0*6~SE*4*259102962~GE*1*259102962~IEA*1*259102962~