Raw X12 — CIN TQ83465H

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0716*|*00501*519017289*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0716*017289*X*005010X279A1~ST*270*7289*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*TQ83465H~EQ*30~DTP*291*D8*20260812~SE*13*7289~GE*1*017289~IEA*1*519017289~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0316*^*00501*742167392*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0316*742167392*X*005010X231A1~ST*999*742167392*005010X231A1~AK1*HS*017289*005010X279A1~AK9*R*1*1*0*6~SE*4*742167392~GE*1*742167392~IEA*1*742167392~