Eligibility Response Detail

CIN: XP35092P

Date of Service: Aug. 13, 2026

Submitted: Aug. 12, 2026 4:04 PM

Payload ID: c6c72106-a3f7-4fc6-949d-fc7a1b4b2a69

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 12, 2026 4:04 PM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*2004*|*00501*565041675*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*041675*X*005010X279A1~ST*270*1675*005010X279A1~BHT*0022*13*202608122004000001*20260812*2004~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*202608122004000001*00000000ND~NM1*IL*1******MI*XP35092P~EQ*30~DTP*291*D8*20260813~SE*13*1675~GE*1*041675~IEA*1*565041675~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*663070415*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*663070415*X*005010X231A1~ST*999*663070415*005010X231A1~AK1*HS*041675*005010X279A1~AK9*R*1*1*0*6~SE*4*663070415~GE*1*663070415~IEA*1*663070415~