Raw X12 — CIN NG69080T

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1951*|*00501*305073842*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*073842*X*005010X279A1~ST*270*3842*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*NG69080T~EQ*30~DTP*291*D8*20260806~SE*13*3842~GE*1*073842~IEA*1*305073842~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1551*^*00501*756885605*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*756885605*X*005010X231A1~ST*999*756885605*005010X231A1~AK1*HS*073842*005010X279A1~AK9*R*1*1*0*6~SE*4*756885605~GE*1*756885605~IEA*1*756885605~