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271 Response
Eligibility Response Detail
CIN: NN74641K
Date of Service: Aug. 6, 2026
Submitted: Aug. 10, 2026 6:30 AM
Payload ID: ae44a0ee-eb29-4c38-a8f1-4dbb2bd50f0d
Response Type: X12 271
Response Status:
Eligible
Member Found: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VNS CHOICE PARTIAL LTC
Received: Aug. 10, 2026 6:30 AM
Parser Version: 1.0
Eligibility Indicators
| Type | Code | Value | Segment | Element | Description |
|---|---|---|---|---|---|
| S1 | S1 | S1 | MSG | MSG01 | S1 exemption code found in MSG segment |
| Recertification | RECERT | 2026-11-30 | MSG | Recertification required by this date |
Benefit Records (EB)
| EB01 | Service Type | Description | Amount | Period | Message |
|---|---|---|---|---|---|
| U | 30 | ELIGIBLE PCP | — | — | |
| B | 30 | — | — | — | |
| 1 | 82 | — | — | — | |
| 1 | 88 | — | — | — | |
| R | 30 | — | — | — | |
| R | 30 | — | — | — |
Raw 270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260810*1030*|*00501*357857054*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1030*857054*X*005010X279A1~ST*270*7054*005010X279A1~BHT*0022*13*202608101030000001*20260810*1030~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*202608101030000001*00000000ND~NM1*IL*1******MI*NN74641K~EQ*30~DTP*291*D8*20260806~SE*13*7054~GE*1*857054~IEA*1*357857054~
Raw 271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260810*0630*^*00501*238020630*0*P*|~GS*HB*EMEDNYREL*00ND*20260810*063052*238020630*X*005010X279A1~ST*271*238020630*005010X279A1~BHT*0022*11*202608101030000001*20260810*063052~HL*1**20*1~NM1*PR*2*NYSDOH*****FI*141797357~PER*IC*EMEDNY PROVIDER SERVICES*TE*8003439000*UR*www.emedny.org~HL*2*1*21*1~NM1*1P*2*MEDICAID PLANNING GROUP CORP*****SV*08046628~HL*3*2*22*0~TRN*2*202608101030000001*00000000ND~NM1*IL*1*OWCZARCZUK*CECYLIA****MI*NN74641K~N3*34 NORTH 6TH STREET S6L~N4*BROOKLYN*NY*11249~DMG*D8*19400509*F~DTP*472*D8*20260810~DTP*346*D8*20260801~DTP*102*D8*20251201~EB*U*IND*30**ELIGIBLE PCP~MSG*CF~MSG*PD~MSG*S1~MSG*CNTY CD=66 5H9~MSG*RECERT MONTH=11~LS*2120~NM1*Y2*2*VNS CHOICE PARTIAL LTC*****PI*VC~N3*220 E 42ND ST FL 6~N4*NEW YORK*NY*100175831~PER*IC*PROVIDER SERVICES*TE*8667830222~LE*2120~EB*B*IND*30***29*0~EB*1*IND*82~EB*1*IND*88~EB*R*IND*30~REF*6P*H3312~LS*2120~NM1*P4*2*AETNA MEDICARE*****PI*H3312~N3*151 FARMINGTON AVENUE~N4*HARTFORD*CT*06156~PER*IC*PROVIDER SERVICES*TE*8002825366~LE*2120~EB*R*IND*30~REF*18*3MD1RR8FC01~LS*2120~NM1*P4*2*MEDICARE ABDQMB~LE*2120~SE*45*238020630~GE*1*238020630~IEA*1*238020630~