Raw X12 — CIN PF66062E

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*2006*|*00501*306012587*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*2006*012587*X*005010X279A1~ST*270*2587*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*PF66062E~EQ*30~DTP*291*D8*20260806~SE*13*2587~GE*1*012587~IEA*1*306012587~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1606*^*00501*920947206*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1606*920947206*X*005010X231A1~ST*999*920947206*005010X231A1~AK1*HS*012587*005010X279A1~AK9*R*1*1*0*6~SE*4*920947206~GE*1*920947206~IEA*1*920947206~