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271 Response
Eligibility Response Detail
CIN: XB29819U
Date of Service: Aug. 14, 2026
Submitted: Aug. 13, 2026 3:26 PM
Payload ID: 04162c87-7480-4a58-9298-3c48a39ba1a6
Response Type: X12 271
Response Status:
Eligible
Member Found: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VNS CHOICE PARTIAL LTC
Received: Aug. 13, 2026 3:26 PM
Parser Version: 1.0
Eligibility Indicators
| Type | Code | Value | Segment | Element | Description |
|---|---|---|---|---|---|
| Recertification | RECERT | 2026-08-31 | MSG | Recertification required by this date |
Benefit Records (EB)
| EB01 | Service Type | Description | Amount | Period | Message |
|---|---|---|---|---|---|
| U | 30 | ELIGIBLE PCP | — | — | |
| B | 30 | — | — | — | |
| 1 | 82 | — | — | — | |
| 1 | 88 | — | — | — | |
| R | 30 | — | — | — | |
| R | 30 | — | — | — |
Raw 270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260813*1926*|*00501*649183958*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1926*183958*X*005010X279A1~ST*270*3958*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*XB29819U~EQ*30~DTP*291*D8*20260814~SE*13*3958~GE*1*183958~IEA*1*649183958~
Raw 271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260813*1526*^*00501*542575830*0*P*|~GS*HB*EMEDNYREL*00ND*20260813*152619*542575830*X*005010X279A1~ST*271*542575830*005010X279A1~BHT*0022*11*202608131926000001*20260813*152619~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*ALVAREZ*CARMEN*M***MI*XB29819U~N3*1003 SAINT NICHOLAS AVENUE~N4*NEW YORK*NY*10032~DMG*D8*19500707*F~DTP*472*D8*20260813~DTP*346*D8*20260801~DTP*102*D8*20260701~EB*U*IND*30**ELIGIBLE PCP~MSG*CF~MSG*CNTY CD=66 5H9~MSG*RECERT MONTH=08~LS*2120~NM1*Y2*2*VNS CHOICE PARTIAL LTC*****PI*VC~N3*220 E 42ND ST FL 6~N4*NEW YORK*NY*100175831~PER*IC*PROVIDER SERVICES*TE*8667830222~LE*2120~EB*B*IND*30***29*0~EB*1*IND*82~EB*1*IND*88~EB*R*IND*30~REF*6P*H5549~LS*2120~NM1*P4*2*VNS CHOICE MEDICARE*****PI*H5549~N3*1250 BROADWAY 3RD FLOOR~N4*NEW YORK*NY*10001~PER*IC*PROVIDER SERVICES*TE*8665976674~LE*2120~EB*R*IND*30~REF*18*7XJ9VQ4QJ13~LS*2120~NM1*P4*2*MEDICARE ABDQMB~LE*2120~SE*43*542575830~GE*1*542575830~IEA*1*542575830~