Eligibility Response Detail

CIN: XD54774F

Date of Service: Aug. 6, 2026

Submitted: Aug. 10, 2026 6:34 AM

Payload ID: e94ffa63-d48d-4da1-8c8f-a1e6e636811a

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*358090574*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1034*090574*X*005010X279A1~ST*270*0574*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*XD54774F~EQ*30~DTP*291*D8*20260806~SE*13*0574~GE*1*090574~IEA*1*358090574~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260810*0634*^*00501*491549244*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0634*491549244*X*005010X231A1~ST*999*491549244*005010X231A1~AK1*HS*090574*005010X279A1~AK9*R*1*1*0*6~SE*4*491549244~GE*1*491549244~IEA*1*491549244~