Raw X12 — CIN XH40959N

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1950*|*00501*305056591*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1950*056591*X*005010X279A1~ST*270*6591*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*XH40959N~EQ*30~DTP*291*D8*20260806~SE*13*6591~GE*1*056591~IEA*1*305056591~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1550*^*00501*792990232*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1550*792990232*X*005010X231A1~ST*999*792990232*005010X231A1~AK1*HS*056591*005010X279A1~AK9*R*1*1*0*6~SE*4*792990232~GE*1*792990232~IEA*1*792990232~