Eligibility Response Detail

CIN: RW54316J

Date of Service: Aug. 6, 2026

Submitted: Aug. 9, 2026 3:51 PM

Payload ID: d9309939-4bbb-4d28-8c30-9b092993bd7a

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*305083610*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*083610*X*005010X279A1~ST*270*3610*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*RW54316J~EQ*30~DTP*291*D8*20260806~SE*13*3610~GE*1*083610~IEA*1*305083610~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1551*^*00501*602319962*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*602319962*X*005010X231A1~ST*999*602319962*005010X231A1~AK1*HS*083610*005010X279A1~AK9*R*1*1*0*6~SE*4*602319962~GE*1*602319962~IEA*1*602319962~