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Raw X12 — CIN UZ43352B
270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260809*1951*|*00501*305084610*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*084610*X*005010X279A1~ST*270*4610*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*UZ43352B~EQ*30~DTP*291*D8*20260806~SE*13*4610~GE*1*084610~IEA*1*305084610~
271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260809*1551*^*00501*379841010*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*379841010*X*005010X231A1~ST*999*379841010*005010X231A1~AK1*HS*084610*005010X279A1~AK9*R*1*1*0*6~SE*4*379841010~GE*1*379841010~IEA*1*379841010~