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271 Response
Eligibility Response Detail
CIN: YV09610D
Date of Service: June 12, 2026
Submitted: July 28, 2026 11:00 AM
Payload ID: f5328a37-d45a-447c-92ff-112ac99b8926
Response Type: X12 271
Response Status:
Eligible
Member Found: Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: —
Received: July 28, 2026 11:00 AM
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 | — | — | — | |
| R | 30 | — | — | — |
Raw 270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260728*1500*|*00501*250835671*1*P*:~GS*HS*00ND*EMEDNYREL*20260728*1500*835671*X*005010X279A1~ST*270*5671*005010X279A1~BHT*0022*13*202607281500000001*20260728*1500~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*202607281500000001*00000000ND~NM1*IL*1******MI*YV09610D~EQ*30~DTP*291*D8*20260612~SE*13*5671~GE*1*835671~IEA*1*250835671~
Raw 271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260728*1100*^*00501*364607730*0*P*|~GS*HB*EMEDNYREL*00ND*20260728*110032*364607730*X*005010X279A1~ST*271*364607730*005010X279A1~BHT*0022*11*202607281500000001*20260728*110032~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*202607281500000001*00000000ND~NM1*IL*1*GONZALEZ*HILDA*M***MI*YV09610D~N3*1174 72 STREET 2R~N4*BROOKLYN*NY*11228~DMG*D8*19410202*F~DTP*472*D8*20260728~DTP*346*D8*20260701~DTP*102*D8*20260501~EB*U*IND*30**ELIGIBLE PCP~MSG*60~MSG*CNTY CD=66 5H9~MSG*RECERT MONTH=08~EB*B*IND*30***29*0~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*7JX3C44EY76~LS*2120~NM1*P4*2*MEDICARE ABD~LE*2120~SE*35*364607730~GE*1*364607730~IEA*1*364607730~