Raw X12 — CIN PF38646X

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1951*|*00501*305064587*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*064587*X*005010X279A1~ST*270*4587*005010X279A1~BHT*0022*13*202608091951000001*20260809*1951~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*202608091951000001*00000000ND~NM1*IL*1******MI*PF38646X~EQ*30~DTP*291*D8*20260806~SE*13*4587~GE*1*064587~IEA*1*305064587~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1551*^*00501*996377408*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*996377408*X*005010X231A1~ST*999*996377408*005010X231A1~AK1*HS*064587*005010X279A1~AK9*R*1*1*0*6~SE*4*996377408~GE*1*996377408~IEA*1*996377408~