Eligibility Response Detail

CIN: KK54009Z

Date of Service: Aug. 12, 2026

Submitted: Aug. 12, 2026 3:16 AM

Payload ID: 06bfc0c9-2bc8-46bc-9675-bf5d042e727c

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 12, 2026 3:16 AM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0716*|*00501*519005393*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0716*005393*X*005010X279A1~ST*270*5393*005010X279A1~BHT*0022*13*202608120716000001*20260812*0716~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*202608120716000001*00000000ND~NM1*IL*1******MI*KK54009Z~EQ*30~DTP*291*D8*20260812~SE*13*5393~GE*1*005393~IEA*1*519005393~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0316*^*00501*634449692*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0316*634449692*X*005010X231A1~ST*999*634449692*005010X231A1~AK1*HS*005393*005010X279A1~AK9*R*1*1*0*6~SE*4*634449692~GE*1*634449692~IEA*1*634449692~