Raw X12 — CIN PA64687R

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*1951*|*00501*305099629*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*1951*099629*X*005010X279A1~ST*270*9629*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*PA64687R~EQ*30~DTP*291*D8*20260806~SE*13*9629~GE*1*099629~IEA*1*305099629~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1551*^*00501*351636556*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1551*351636556*X*005010X231A1~ST*999*351636556*005010X231A1~AK1*HS*099629*005010X279A1~AK9*R*1*1*0*6~SE*4*351636556~GE*1*351636556~IEA*1*351636556~