Eligibility Response Detail

CIN: WA17816D

Date of Service: Aug. 6, 2026

Submitted: Aug. 9, 2026 4:08 PM

Payload ID: a20887c5-f1fd-488c-b53d-72ee605b7561

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 9, 2026 4:08 PM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*2008*|*00501*306099747*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*2008*099747*X*005010X279A1~ST*270*9747*005010X279A1~BHT*0022*13*202608092008000001*20260809*2008~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*202608092008000001*00000000ND~NM1*IL*1******MI*WA17816D~EQ*30~DTP*291*D8*20260806~SE*13*9747~GE*1*099747~IEA*1*306099747~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1608*^*00501*270883422*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1608*270883422*X*005010X231A1~ST*999*270883422*005010X231A1~AK1*HS*099747*005010X279A1~AK9*R*1*1*0*6~SE*4*270883422~GE*1*270883422~IEA*1*270883422~