Eligibility Response Detail

CIN: WF28123S

Date of Service: Aug. 6, 2026

Submitted: Aug. 9, 2026 3:51 PM

Payload ID: d642330c-9bc3-4b62-9f9c-4217242dc2e3

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*305079606*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*079606*X*005010X279A1~ST*270*9606*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*WF28123S~EQ*30~DTP*291*D8*20260806~SE*13*9606~GE*1*079606~IEA*1*305079606~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1551*^*00501*461959956*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*461959956*X*005010X231A1~ST*999*461959956*005010X231A1~AK1*HS*079606*005010X279A1~AK9*R*1*1*0*6~SE*4*461959956~GE*1*461959956~IEA*1*461959956~