Eligibility Response Detail

CIN: TB32479W

Date of Service: Aug. 13, 2026

Submitted: Aug. 12, 2026 4:04 PM

Payload ID: 5df4fa7e-5366-47af-b6fb-58a4de1cb21f

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*565094967*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*094967*X*005010X279A1~ST*270*4967*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*TB32479W~EQ*30~DTP*291*D8*20260813~SE*13*4967~GE*1*094967~IEA*1*565094967~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*458036136*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*458036136*X*005010X231A1~ST*999*458036136*005010X231A1~AK1*HS*094967*005010X279A1~AK9*R*1*1*0*6~SE*4*458036136~GE*1*458036136~IEA*1*458036136~