Raw X12 — CIN WA32869T

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260810*1033*|*00501*358034291*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1033*034291*X*005010X279A1~ST*270*4291*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*WA32869T~EQ*30~DTP*291*D8*20260806~SE*13*4291~GE*1*034291~IEA*1*358034291~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260810*0633*^*00501*722044473*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0633*722044473*X*005010X231A1~ST*999*722044473*005010X231A1~AK1*HS*034291*005010X279A1~AK9*R*1*1*0*6~SE*4*722044473~GE*1*722044473~IEA*1*722044473~