Raw X12 — CIN SV71957A

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0717*|*00501*519024042*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0717*024042*X*005010X279A1~ST*270*4042*005010X279A1~BHT*0022*13*202608120717000001*20260812*0717~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*202608120717000001*00000000ND~NM1*IL*1******MI*SV71957A~EQ*30~DTP*291*D8*20260812~SE*13*4042~GE*1*024042~IEA*1*519024042~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0317*^*00501*296406236*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0317*296406236*X*005010X231A1~ST*999*296406236*005010X231A1~AK1*HS*024042*005010X279A1~AK9*R*1*1*0*6~SE*4*296406236~GE*1*296406236~IEA*1*296406236~