Raw X12 — CIN XR41001A

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0718*|*00501*519081114*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0718*081114*X*005010X279A1~ST*270*1114*005010X279A1~BHT*0022*13*202608120718000001*20260812*0718~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*202608120718000001*00000000ND~NM1*IL*1******MI*XR41001A~EQ*30~DTP*291*D8*20260812~SE*13*1114~GE*1*081114~IEA*1*519081114~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0317*^*00501*243820063*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0317*243820063*X*005010X231A1~ST*999*243820063*005010X231A1~AK1*HS*081114*005010X279A1~AK9*R*1*1*0*6~SE*4*243820063~GE*1*243820063~IEA*1*243820063~