Eligibility Response Detail

CIN: RV80167N

Date of Service: July 26, 2026

Submitted: July 26, 2026 12:40 PM

Payload ID: f71e72d0-a05a-4580-9b46-339d9f001e7c

Response Type: X12 999

Response Status: Member Not Found

Member Found: No

Coverage: — — —

Plan: —

MCO: —

Received: July 26, 2026 12:40 PM

Parser Version: 1.0

Raw 270 Request

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260726*1640*|*00501*084011128*1*P*:~GS*HS*00ND*EMEDNYREL*20260726*1640*011128*X*005010X279A1~ST*270*1128*005010X279A1~BHT*0022*13*202607261640000001*20260726*1640~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*202607261640000001*00000000ND~NM1*IL*1******MI*RV80167N~EQ*30~DTP*291*D8*20260726~SE*13*1128~GE*1*011128~IEA*1*084011128~

Raw 271 Response

Full screen

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260726*1240*^*00501*124965513*0*P*|~GS*FA*EMEDNYREL*00ND*20260726*1240*124965513*X*005010X231A1~ST*999*124965513*005010X231A1~AK1*HS*011128*005010X279A1~AK9*R*1*1*0*6~SE*4*124965513~GE*1*124965513~IEA*1*124965513~