Eligibility Response Detail

CIN: RN60600S

Date of Service: Aug. 14, 2026

Submitted: Aug. 13, 2026 3:24 PM

Payload ID: c071e99f-3d94-4ff3-8ed0-5baf22f2bde9

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: Aug. 13, 2026 3:24 PM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1924*|*00501*649052388*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1924*052388*X*005010X279A1~ST*270*2388*005010X279A1~BHT*0022*13*202608131924000001*20260813*1924~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*202608131924000001*00000000ND~NM1*IL*1******MI*RN60600S~EQ*30~DTP*291*D8*20260814~SE*13*2388~GE*1*052388~IEA*1*649052388~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1524*^*00501*359414175*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1524*359414175*X*005010X231A1~ST*999*359414175*005010X231A1~AK1*HS*052388*005010X279A1~AK9*R*1*1*0*6~SE*4*359414175~GE*1*359414175~IEA*1*359414175~