Raw X12 — CIN SV71957A

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260810*1033*|*00501*358035265*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1033*035265*X*005010X279A1~ST*270*5265*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*SV71957A~EQ*30~DTP*291*D8*20260806~SE*13*5265~GE*1*035265~IEA*1*358035265~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260810*0633*^*00501*763689474*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0633*763689474*X*005010X231A1~ST*999*763689474*005010X231A1~AK1*HS*035265*005010X279A1~AK9*R*1*1*0*6~SE*4*763689474~GE*1*763689474~IEA*1*763689474~