Raw X12 — CIN WF28123S

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*2006*|*00501*306000864*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*2006*000864*X*005010X279A1~ST*270*0864*005010X279A1~BHT*0022*13*202608092006000001*20260809*2006~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*202608092006000001*00000000ND~NM1*IL*1******MI*WF28123S~EQ*30~DTP*291*D8*20260806~SE*13*0864~GE*1*000864~IEA*1*306000864~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1606*^*00501*466967890*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1606*466967890*X*005010X231A1~ST*999*466967890*005010X231A1~AK1*HS*000864*005010X279A1~AK9*R*1*1*0*6~SE*4*466967890~GE*1*466967890~IEA*1*466967890~