Eligibility Response Detail

CIN: RD55691E

Date of Service: Aug. 6, 2026

Submitted: Aug. 10, 2026 6:33 AM

Payload ID: fd5ff248-f75d-429b-8921-86d69f77494a

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 10, 2026 6:33 AM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260810*1033*|*00501*358002231*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1033*002231*X*005010X279A1~ST*270*2231*005010X279A1~BHT*0022*13*202608101033000001*20260810*1033~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*202608101033000001*00000000ND~NM1*IL*1******MI*RD55691E~EQ*30~DTP*291*D8*20260806~SE*13*2231~GE*1*002231~IEA*1*358002231~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260810*0633*^*00501*344747662*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0633*344747662*X*005010X231A1~ST*999*344747662*005010X231A1~AK1*HS*002231*005010X279A1~AK9*R*1*1*0*6~SE*4*344747662~GE*1*344747662~IEA*1*344747662~