Raw X12 — CIN WH75712K

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260727*0735*|*00501*137727782*1*P*:~GS*HS*00ND*EMEDNYREL*20260727*0735*727782*X*005010X279A1~ST*270*7782*005010X279A1~BHT*0022*13*202607270735000001*20260727*0735~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*202607270735000001*00000000ND~NM1*IL*1******MI*WH75712K~EQ*30~DTP*291*D8*20260727~SE*13*7782~GE*1*727782~IEA*1*137727782~