Eligibility Response Detail

CIN: PS29117Y

Date of Service: Aug. 6, 2026

Submitted: Aug. 10, 2026 6:34 AM

Payload ID: ef6d2a29-a399-4b91-82d0-7eee6b64b7b4

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 10, 2026 6:34 AM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260810*1034*|*00501*358064497*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1034*064497*X*005010X279A1~ST*270*4497*005010X279A1~BHT*0022*13*202608101034000001*20260810*1034~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*202608101034000001*00000000ND~NM1*IL*1******MI*PS29117Y~EQ*30~DTP*291*D8*20260806~SE*13*4497~GE*1*064497~IEA*1*358064497~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260810*0634*^*00501*392036290*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0634*392036290*X*005010X231A1~ST*999*392036290*005010X231A1~AK1*HS*064497*005010X279A1~AK9*R*1*1*0*6~SE*4*392036290~GE*1*392036290~IEA*1*392036290~