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Raw X12 — CIN VN05053F
270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260809*1951*|*00501*305067595*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*067595*X*005010X279A1~ST*270*7595*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*VN05053F~EQ*30~DTP*291*D8*20260806~SE*13*7595~GE*1*067595~IEA*1*305067595~
271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260809*1551*^*00501*406280126*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*406280126*X*005010X231A1~ST*999*406280126*005010X231A1~AK1*HS*067595*005010X279A1~AK9*R*1*1*0*6~SE*4*406280126~GE*1*406280126~IEA*1*406280126~