Raw X12 — CIN VD98199H

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*2003*|*00501*565024662*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2003*024662*X*005010X279A1~ST*270*4662*005010X279A1~BHT*0022*13*202608122003000001*20260812*2003~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*202608122003000001*00000000ND~NM1*IL*1******MI*VD98199H~EQ*30~DTP*291*D8*20260813~SE*13*4662~GE*1*024662~IEA*1*565024662~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1603*^*00501*782430712*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1603*782430712*X*005010X231A1~ST*999*782430712*005010X231A1~AK1*HS*024662*005010X279A1~AK9*R*1*1*0*6~SE*4*782430712~GE*1*782430712~IEA*1*782430712~