Eligibility Response Detail

CIN: RJ44875S

Date of Service: Aug. 14, 2026

Submitted: Aug. 13, 2026 3:23 PM

Payload ID: 2547a1bd-0632-43e5-be55-b9b4a265c003

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*649038618*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1923*038618*X*005010X279A1~ST*270*8618*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*RJ44875S~EQ*30~DTP*291*D8*20260814~SE*13*8618~GE*1*038618~IEA*1*649038618~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1523*^*00501*500857260*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1523*500857260*X*005010X231A1~ST*999*500857260*005010X231A1~AK1*HS*038618*005010X279A1~AK9*R*1*1*0*6~SE*4*500857260~GE*1*500857260~IEA*1*500857260~