Eligibility Response Detail

CIN: XH17228W

Date of Service: Aug. 13, 2026

Submitted: Aug. 12, 2026 4:04 PM

Payload ID: 58503e7e-d7c5-4e76-9d59-4f8228ceed49

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*565048683*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*048683*X*005010X279A1~ST*270*8683*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*XH17228W~EQ*30~DTP*291*D8*20260813~SE*13*8683~GE*1*048683~IEA*1*565048683~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*382409361*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*382409361*X*005010X231A1~ST*999*382409361*005010X231A1~AK1*HS*048683*005010X279A1~AK9*R*1*1*0*6~SE*4*382409361~GE*1*382409361~IEA*1*382409361~