Import ›
271 Response
Eligibility Response Detail
CIN: VR89736R
Date of Service: Aug. 14, 2026
Submitted: Aug. 13, 2026 3:13 PM
Payload ID: 8ca42ce9-d6bc-4b92-8f45-e0599a7df612
Response Type: X12 271
Response Status:
Eligible
Member Found: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC MAP
Received: Aug. 13, 2026 3:13 PM
Parser Version: 1.0
Benefit Records (EB)
| EB01 | Service Type | Description | Amount | Period | Message |
|---|---|---|---|---|---|
| U | 30 | ELIGIBLE PCP | — | — | |
| B | 30 | — | — | — | |
| 1 | 82 | — | — | — | |
| R | 30 | — | — | — | |
| R | 30 | — | — | — |
Raw 270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260813*1913*|*00501*648438727*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1913*438727*X*005010X279A1~ST*270*8727*005010X279A1~BHT*0022*13*202608131913000001*20260813*1913~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*202608131913000001*00000000ND~NM1*IL*1******MI*VR89736R~EQ*30~DTP*291*D8*20260814~SE*13*8727~GE*1*438727~IEA*1*648438727~
Raw 271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260813*1513*^*00501*536799830*0*P*|~GS*HB*EMEDNYREL*00ND*20260813*151354*536799830*X*005010X279A1~ST*271*536799830*005010X279A1~BHT*0022*11*202608131913000001*20260813*151354~HL*1**20*1~NM1*PR*2*NYSDOH*****FI*141797357~PER*IC*EMEDNY PROVIDER SERVICES*TE*8003439000*UR*www.emedny.org~HL*2*1*21*1~NM1*1P*2*MEDICAID PLANNING GROUP CORP*****SV*08046628~HL*3*2*22*0~TRN*2*202608131913000001*00000000ND~NM1*IL*1*GONZALEZ*MARGARITA****MI*VR89736R~N3*4815 4TH AVE C4~N4*BROOKLYN*NY*11220~DMG*D8*19390611*F~DTP*472*D8*20260813~DTP*346*D8*20260801~DTP*102*D8*20260301~EB*U*IND*30**ELIGIBLE PCP~MSG*CF~MSG*CNTY CD=66 5H9~LS*2120~NM1*Y2*2*ELDERPLAN INC MAP*****PI*YL~N3*55 WATER ST FL 46~N4*NEW YORK*NY*100413211~PER*IC*PROVIDER SERVICES*TE*8778916447~LE*2120~EB*B*IND*30***29*0~EB*1*IND*82~EB*R*IND*30~REF*6P*H3347~LS*2120~NM1*P4*2*ELDERPLAN*****PI*H3347~N3*ELDERPLAN INC 745 64TH STREET~N4*BROOKLYN*NY*11220~PER*IC*PROVIDER SERVICES*TE*8003533765~LE*2120~EB*R*IND*30~REF*18*9T07H04QY57~LS*2120~NM1*P4*2*MEDICARE ABDQMB~LE*2120~SE*41*536799830~GE*1*536799830~IEA*1*536799830~