Eligibility Response Detail

CIN: ZP43768Z

Date of Service: Aug. 13, 2026

Submitted: Aug. 12, 2026 4:04 PM

Payload ID: 2f430459-0c43-46c9-badb-9dfb4bf7d639

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*565080721*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*080721*X*005010X279A1~ST*270*0721*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*ZP43768Z~EQ*30~DTP*291*D8*20260813~SE*13*0721~GE*1*080721~IEA*1*565080721~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*202862956*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*202862956*X*005010X231A1~ST*999*202862956*005010X231A1~AK1*HS*080721*005010X279A1~AK9*R*1*1*0*6~SE*4*202862956~GE*1*202862956~IEA*1*202862956~