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Raw X12 — CIN VE98888J

270 Request
ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1950*|*00501*305014530*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1950*014530*X*005010X279A1~ST*270*4530*005010X279A1~BHT*0022*13*202608091950000001*20260809*1950~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*202608091950000001*00000000ND~NM1*IL*1******MI*VE98888J~EQ*30~DTP*291*D8*20260806~SE*13*4530~GE*1*014530~IEA*1*305014530~
271 Response
ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1550*^*00501*807913786*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1550*807913786*X*005010X231A1~ST*999*807913786*005010X231A1~AK1*HS*014530*005010X279A1~AK9*R*1*1*0*6~SE*4*807913786~GE*1*807913786~IEA*1*807913786~