Raw X12 — CIN TP99495A

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260810*1033*|*00501*358008482*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1033*008482*X*005010X279A1~ST*270*8482*005010X279A1~BHT*0022*13*202608101033000001*20260810*1033~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*202608101033000001*00000000ND~NM1*IL*1******MI*TP99495A~EQ*30~DTP*291*D8*20260806~SE*13*8482~GE*1*008482~IEA*1*358008482~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260810*0633*^*00501*145916284*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0633*145916284*X*005010X231A1~ST*999*145916284*005010X231A1~AK1*HS*008482*005010X279A1~AK9*R*1*1*0*6~SE*4*145916284~GE*1*145916284~IEA*1*145916284~