Raw X12 — CIN WG13046N

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260726*1640*|*00501*084015482*1*P*:~GS*HS*00ND*EMEDNYREL*20260726*1640*015482*X*005010X279A1~ST*270*5482*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*WG13046N~EQ*30~DTP*291*D8*20260726~SE*13*5482~GE*1*015482~IEA*1*084015482~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260726*1240*^*00501*892325181*0*P*|~GS*FA*EMEDNYREL*00ND*20260726*1240*892325181*X*005010X231A1~ST*999*892325181*005010X231A1~AK1*HS*015482*005010X279A1~AK9*R*1*1*0*6~SE*4*892325181~GE*1*892325181~IEA*1*892325181~