Raw X12 — CIN QF57963C

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1950*|*00501*305039561*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1950*039561*X*005010X279A1~ST*270*9561*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*QF57963C~EQ*30~DTP*291*D8*20260806~SE*13*9561~GE*1*039561~IEA*1*305039561~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1550*^*00501*146599674*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1550*146599674*X*005010X231A1~ST*999*146599674*005010X231A1~AK1*HS*039561*005010X279A1~AK9*R*1*1*0*6~SE*4*146599674~GE*1*146599674~IEA*1*146599674~