Raw X12 — CIN TX61405B

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0717*|*00501*519066077*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0717*066077*X*005010X279A1~ST*270*6077*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*TX61405B~EQ*30~DTP*291*D8*20260812~SE*13*6077~GE*1*066077~IEA*1*519066077~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0317*^*00501*968152560*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0317*968152560*X*005010X231A1~ST*999*968152560*005010X231A1~AK1*HS*066077*005010X279A1~AK9*R*1*1*0*6~SE*4*968152560~GE*1*968152560~IEA*1*968152560~