Import ›
271 Response
Eligibility Response Detail
CIN: MW59619W
Date of Service: Aug. 12, 2026
Submitted: Aug. 12, 2026 3:14 AM
Payload ID: b0a0509b-12ee-40f9-8624-359e95a41aaf
Response Type: X12 271
Response Status:
Ineligible
Member Found: Yes
Coverage: — — —
Plan: —
MCO: —
Received: Aug. 12, 2026 3:14 AM
Parser Version: 1.0
Benefit Records (EB)
| EB01 | Service Type | Description | Amount | Period | Message |
|---|---|---|---|---|---|
| 6 | 30 | — | — | — |
Raw 270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260812*0714*|*00501*518840831*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0714*840831*X*005010X279A1~ST*270*0831*005010X279A1~BHT*0022*13*202608120714000001*20260812*0714~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*202608120714000001*00000000ND~NM1*IL*1******MI*MW59619W~EQ*30~DTP*291*D8*20260812~SE*13*0831~GE*1*840831~IEA*1*518840831~
Raw 271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260812*0313*^*00501*174409130*0*P*|~GS*HB*EMEDNYREL*00ND*20260812*031356*174409130*X*005010X279A1~ST*271*174409130*005010X279A1~BHT*0022*11*202608120714000001*20260812*031356~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*202608120714000001*00000000ND~NM1*IL*1******MI*MW59619W~DTP*472*D8*20260812~EB*6*IND*30~SE*13*174409130~GE*1*174409130~IEA*1*174409130~