Eligibility Response Detail

CIN: QB64166M

Date of Service: Aug. 13, 2026

Submitted: Aug. 12, 2026 4:04 PM

Payload ID: 36659af5-a604-4c26-90c3-c81f64c51337

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*565086962*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*086962*X*005010X279A1~ST*270*6962*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*QB64166M~EQ*30~DTP*291*D8*20260813~SE*13*6962~GE*1*086962~IEA*1*565086962~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*854054761*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*854054761*X*005010X231A1~ST*999*854054761*005010X231A1~AK1*HS*086962*005010X279A1~AK9*R*1*1*0*6~SE*4*854054761~GE*1*854054761~IEA*1*854054761~