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Raw X12 — CIN KR02974N
270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260812*0717*|*00501*519025244*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0717*025244*X*005010X279A1~ST*270*5244*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*KR02974N~EQ*30~DTP*291*D8*20260812~SE*13*5244~GE*1*025244~IEA*1*519025244~
271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260812*0317*^*00501*859895761*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0317*859895761*X*005010X231A1~ST*999*859895761*005010X231A1~AK1*HS*025244*005010X279A1~AK9*R*1*1*0*6~SE*4*859895761~GE*1*859895761~IEA*1*859895761~