Eligibility Response Detail

CIN: ZR98837F

Date of Service: July 27, 2026

Submitted: July 27, 2026 4:15 AM

Payload ID: 794728a3-be67-4b09-82a5-eace30d5b80f

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: July 27, 2026 4:15 AM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260727*0814*|*00501*140099087*1*P*:~GS*HS*00ND*EMEDNYREL*20260727*0814*099087*X*005010X279A1~ST*270*9087*005010X279A1~BHT*0022*13*202607270814000001*20260727*0814~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*202607270814000001*00000000ND~NM1*IL*1******MI*ZR98837F~EQ*30~DTP*291*D8*20260727~SE*13*9087~GE*1*099087~IEA*1*140099087~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260727*0414*^*00501*503154255*0*P*|~GS*FA*EMEDNYREL*00ND*20260727*0414*503154255*X*005010X231A1~ST*999*503154255*005010X231A1~AK1*HS*099087*005010X279A1~AK9*R*1*1*0*6~SE*4*503154255~GE*1*503154255~IEA*1*503154255~