Import › 271 Response

Eligibility Response Detail

CIN: YW47830D
Date of Service: Aug. 14, 2026
Submitted: Aug. 13, 2026 3:26 PM
Payload ID: 6d2b2920-a9fd-4b44-a85f-e38305ef6699
Response Type: X12 271
Response Status: Ineligible
Member Found: Yes
Coverage: — — —
Plan: —
MCO: —
Received: Aug. 13, 2026 3:26 PM
Parser Version: 1.0

Benefit Records (EB)

EB01 Service Type Description Amount Period Message
6 30 — — —

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1926*|*00501*649172951*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1926*172951*X*005010X279A1~ST*270*2951*005010X279A1~BHT*0022*13*202608131926000001*20260813*1926~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*202608131926000001*00000000ND~NM1*IL*1******MI*YW47830D~EQ*30~DTP*291*D8*20260814~SE*13*2951~GE*1*172951~IEA*1*649172951~

Raw 271 Response

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1526*^*00501*542528130*0*P*|~GS*HB*EMEDNYREL*00ND*20260813*152608*542528130*X*005010X279A1~ST*271*542528130*005010X279A1~BHT*0022*11*202608131926000001*20260813*152608~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*202608131926000001*00000000ND~NM1*IL*1******MI*YW47830D~DTP*472*D8*20260813~EB*6*IND*30~SE*13*542528130~GE*1*542528130~IEA*1*542528130~