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271 Response
Eligibility Response Detail
CIN: YP97626A
Date of Service: Aug. 14, 2026
Submitted: Aug. 13, 2026 3:26 PM
Payload ID: 086228cd-c9eb-4abe-b374-a2f431fe1197
Response Type: X12 271
Response Status:
Eligible
Member Found: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: —
Received: Aug. 13, 2026 3:26 PM
Parser Version: 1.0
Eligibility Indicators
| Type | Code | Value | Segment | Element | Description |
|---|---|---|---|---|---|
| Code 60 | 60 | 60 | MSG | MSG01 | Code 60 found in MSG segment |
| 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 | — | — | — | |
| R | 30 | — | — | — |
Raw 270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260813*1926*|*00501*649207087*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1926*207087*X*005010X279A1~ST*270*7087*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*YP97626A~EQ*30~DTP*291*D8*20260814~SE*13*7087~GE*1*207087~IEA*1*649207087~
Raw 271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260813*1526*^*00501*542672030*0*P*|~GS*HB*EMEDNYREL*00ND*20260813*152642*542672030*X*005010X279A1~ST*271*542672030*005010X279A1~BHT*0022*11*202608131926000001*20260813*152642~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*MERLO*SONIA****MI*YP97626A~N3*530 W 55TH ST 6 C~N4*NEW YORK CITY*NY*10019~DMG*D8*19350218*F~DTP*472*D8*20260813~DTP*346*D8*20260801~DTP*102*D8*20260301~EB*U*IND*30**ELIGIBLE PCP~MSG*60~MSG*CNTY CD=66 548~MSG*RECERT MONTH=08~EB*B*IND*30***29*0~EB*R*IND*30~REF*18*1C56EW6QR76~LS*2120~NM1*P4*2*MEDICARE ABDQMB~LE*2120~SE*27*542672030~GE*1*542672030~IEA*1*542672030~