Raw X12 — CIN WR82000K

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260726*1640*|*00501*084017104*1*P*:~GS*HS*00ND*EMEDNYREL*20260726*1640*017104*X*005010X279A1~ST*270*7104*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*WR82000K~EQ*30~DTP*291*D8*20260726~SE*13*7104~GE*1*017104~IEA*1*084017104~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260726*1240*^*00501*457524112*0*P*|~GS*FA*EMEDNYREL*00ND*20260726*1240*457524112*X*005010X231A1~ST*999*457524112*005010X231A1~AK1*HS*017104*005010X279A1~AK9*R*1*1*0*6~SE*4*457524112~GE*1*457524112~IEA*1*457524112~