Eligibility Response Detail

CIN: WS25825H

Date of Service: Aug. 12, 2026

Submitted: Aug. 12, 2026 3:18 AM

Payload ID: 407cd59b-2953-494c-8beb-96779bc64c9d

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 12, 2026 3:18 AM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0718*|*00501*519097310*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0718*097310*X*005010X279A1~ST*270*7310*005010X279A1~BHT*0022*13*202608120718000001*20260812*0718~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*202608120718000001*00000000ND~NM1*IL*1******MI*WS25825H~EQ*30~DTP*291*D8*20260812~SE*13*7310~GE*1*097310~IEA*1*519097310~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0318*^*00501*976573703*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0318*976573703*X*005010X231A1~ST*999*976573703*005010X231A1~AK1*HS*097310*005010X279A1~AK9*R*1*1*0*6~SE*4*976573703~GE*1*976573703~IEA*1*976573703~