Raw X12 — CIN WH08570X

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1950*|*00501*305052573*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1950*052573*X*005010X279A1~ST*270*2573*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*WH08570X~EQ*30~DTP*291*D8*20260806~SE*13*2573~GE*1*052573~IEA*1*305052573~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1550*^*00501*468677589*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1550*468677589*X*005010X231A1~ST*999*468677589*005010X231A1~AK1*HS*052573*005010X279A1~AK9*R*1*1*0*6~SE*4*468677589~GE*1*468677589~IEA*1*468677589~