Eligibility Response Detail

CIN: XH58721M

Date of Service: Aug. 6, 2026

Submitted: Aug. 9, 2026 3:51 PM

Payload ID: f56c1d65-e76f-4cc7-9619-f95385ae4b75

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*305087614*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*087614*X*005010X279A1~ST*270*7614*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*XH58721M~EQ*30~DTP*291*D8*20260806~SE*13*7614~GE*1*087614~IEA*1*305087614~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1551*^*00501*108578565*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*108578565*X*005010X231A1~ST*999*108578565*005010X231A1~AK1*HS*087614*005010X279A1~AK9*R*1*1*0*6~SE*4*108578565~GE*1*108578565~IEA*1*108578565~