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Raw X12 — CIN TW61551Z
270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260812*0716*|*00501*519016026*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0716*016026*X*005010X279A1~ST*270*6026*005010X279A1~BHT*0022*13*202608120716000001*20260812*0716~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*202608120716000001*00000000ND~NM1*IL*1******MI*TW61551Z~EQ*30~DTP*291*D8*20260812~SE*13*6026~GE*1*016026~IEA*1*519016026~
271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260812*0316*^*00501*483888849*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0316*483888849*X*005010X231A1~ST*999*483888849*005010X231A1~AK1*HS*016026*005010X279A1~AK9*R*1*1*0*6~SE*4*483888849~GE*1*483888849~IEA*1*483888849~