Eligibility Response Detail

CIN: PS10423T

Date of Service: Aug. 14, 2026

Submitted: Aug. 13, 2026 3:24 PM

Payload ID: 5fdf202c-9bb6-436b-8f41-08daaf2f37dc

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*649085430*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1924*085430*X*005010X279A1~ST*270*5430*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*PS10423T~EQ*30~DTP*291*D8*20260814~SE*13*5430~GE*1*085430~IEA*1*649085430~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1524*^*00501*408035872*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1524*408035872*X*005010X231A1~ST*999*408035872*005010X231A1~AK1*HS*085430*005010X279A1~AK9*R*1*1*0*6~SE*4*408035872~GE*1*408035872~IEA*1*408035872~