Raw X12 — CIN SF62076U

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*0718*|*00501*519090117*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*0718*090117*X*005010X279A1~ST*270*0117*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*SF62076U~EQ*30~DTP*291*D8*20260812~SE*13*0117~GE*1*090117~IEA*1*519090117~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*0318*^*00501*991054498*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*0318*991054498*X*005010X231A1~ST*999*991054498*005010X231A1~AK1*HS*090117*005010X279A1~AK9*R*1*1*0*6~SE*4*991054498~GE*1*991054498~IEA*1*991054498~