Raw X12 — CIN UW72599Y

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0717*|*00501*519046067*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0717*046067*X*005010X279A1~ST*270*6067*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*UW72599Y~EQ*30~DTP*291*D8*20260812~SE*13*6067~GE*1*046067~IEA*1*519046067~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0317*^*00501*494698797*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0317*494698797*X*005010X231A1~ST*999*494698797*005010X231A1~AK1*HS*046067*005010X279A1~AK9*R*1*1*0*6~SE*4*494698797~GE*1*494698797~IEA*1*494698797~