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271 Response
Eligibility Response Detail
CIN: RK28197V
Date of Service: Sept. 14, 2026
Submitted: Sept. 14, 2026 7:20 AM
Payload ID: 4569573c-a51f-47cc-aa98-6c1e42524c7a
Response Type: X12 271
Response Status:
Eligible
Member Found: Yes
Coverage: Sept. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VNS CHOICE PARTIAL LTC
Received: Sept. 14, 2026 7:20 AM
Parser Version: 1.0
Eligibility Indicators
| Type | Code | Value | Segment | Element | Description |
|---|---|---|---|---|---|
| Recertification | RECERT | 2026-10-31 | 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 *260914*1120*|*00501*384804436*1*P*:~GS*HS*00ND*EMEDNYREL*20260914*1120*804436*X*005010X279A1~ST*270*4436*005010X279A1~BHT*0022*13*202609141120000001*20260914*1120~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*202609141120000001*00000000ND~NM1*IL*1******MI*RK28197V~EQ*30~DTP*291*D8*20260914~SE*13*4436~GE*1*804436~IEA*1*384804436~
Raw 271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260914*0720*^*00501*244202330*0*P*|~GS*HB*EMEDNYREL*00ND*20260914*072004*244202330*X*005010X279A1~ST*271*244202330*005010X279A1~BHT*0022*11*202609141120000001*20260914*072004~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*202609141120000001*00000000ND~NM1*IL*1*ACUNA*OLMAN****MI*RK28197V~N3*225 CROSS BRONX EXPWY 1E~N4*BRONX*NY*10457~DMG*D8*19620223*M~DTP*472*D8*20260914~DTP*346*D8*20260901~DTP*102*D8*20260701~EB*U*IND*30**ELIGIBLE PCP~MSG*CF~MSG*PD~MSG*CNTY CD=66 5H9~MSG*RECERT MONTH=10~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*H3312~LS*2120~NM1*P4*2*AETNA MEDICARE*****PI*H3312~N3*151 FARMINGTON AVENUE~N4*HARTFORD*CT*06156~PER*IC*PROVIDER SERVICES*TE*8002825366~LE*2120~EB*R*IND*30~REF*18*1FW5FF9ED80~LS*2120~NM1*P4*2*MEDICARE ABDQMB~LE*2120~SE*44*244202330~GE*1*244202330~IEA*1*244202330~