Raw X12 — CIN WF66390W

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260809*2008*|*00501*306094742*1*P*:~GS*HS*00ND*EMEDNYREL*20260809*2008*094742*X*005010X279A1~ST*270*4742*005010X279A1~BHT*0022*13*202608092008000001*20260809*2008~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*202608092008000001*00000000ND~NM1*IL*1******MI*WF66390W~EQ*30~DTP*291*D8*20260806~SE*13*4742~GE*1*094742~IEA*1*306094742~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260809*1608*^*00501*143385395*0*P*|~GS*FA*EMEDNYREL*00ND*20260809*1608*143385395*X*005010X231A1~ST*999*143385395*005010X231A1~AK1*HS*094742*005010X279A1~AK9*R*1*1*0*6~SE*4*143385395~GE*1*143385395~IEA*1*143385395~