Eligibility Response Detail

CIN: PR97423N

Date of Service: Aug. 6, 2026

Submitted: Aug. 10, 2026 6:33 AM

Payload ID: 6bc011b5-4f96-4438-8ce7-cb1a051bd777

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*358039291*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1033*039291*X*005010X279A1~ST*270*9291*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*PR97423N~EQ*30~DTP*291*D8*20260806~SE*13*9291~GE*1*039291~IEA*1*358039291~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260810*0633*^*00501*410344526*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0633*410344526*X*005010X231A1~ST*999*410344526*005010X231A1~AK1*HS*039291*005010X279A1~AK9*R*1*1*0*6~SE*4*410344526~GE*1*410344526~IEA*1*410344526~