Raw X12 — CIN RR54519H

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260810*1033*|*00501*358031263*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1033*031263*X*005010X279A1~ST*270*1263*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*RR54519H~EQ*30~DTP*291*D8*20260806~SE*13*1263~GE*1*031263~IEA*1*358031263~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260810*0633*^*00501*323921566*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0633*323921566*X*005010X231A1~ST*999*323921566*005010X231A1~AK1*HS*031263*005010X279A1~AK9*R*1*1*0*6~SE*4*323921566~GE*1*323921566~IEA*1*323921566~