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Raw X12 — CIN TX61405B
270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260810*1034*|*00501*358077309*1*P*:~GS*HS*00ND*EMEDNYREL*20260810*1034*077309*X*005010X279A1~ST*270*7309*005010X279A1~BHT*0022*13*202608101034000001*20260810*1034~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*202608101034000001*00000000ND~NM1*IL*1******MI*TX61405B~EQ*30~DTP*291*D8*20260806~SE*13*7309~GE*1*077309~IEA*1*358077309~
271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260810*0634*^*00501*798458736*0*P*|~GS*FA*EMEDNYREL*00ND*20260810*0634*798458736*X*005010X231A1~ST*999*798458736*005010X231A1~AK1*HS*077309*005010X279A1~AK9*R*1*1*0*6~SE*4*798458736~GE*1*798458736~IEA*1*798458736~