Eligibility Response Detail

CIN: UU19486U

Date of Service: Aug. 14, 2026

Submitted: Aug. 13, 2026 3:23 PM

Payload ID: 31155005-bd49-41dc-ad6d-5ac8fb119524

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 13, 2026 3:23 PM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1923*|*00501*649036375*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1923*036375*X*005010X279A1~ST*270*6375*005010X279A1~BHT*0022*13*202608131923000001*20260813*1923~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*202608131923000001*00000000ND~NM1*IL*1******MI*UU19486U~EQ*30~DTP*291*D8*20260814~SE*13*6375~GE*1*036375~IEA*1*649036375~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1523*^*00501*830085517*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1523*830085517*X*005010X231A1~ST*999*830085517*005010X231A1~AK1*HS*036375*005010X279A1~AK9*R*1*1*0*6~SE*4*830085517~GE*1*830085517~IEA*1*830085517~