Raw X12 — CIN TA46632B

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*2003*|*00501*565029664*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2003*029664*X*005010X279A1~ST*270*9664*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*TA46632B~EQ*30~DTP*291*D8*20260813~SE*13*9664~GE*1*029664~IEA*1*565029664~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1603*^*00501*111299646*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1603*111299646*X*005010X231A1~ST*999*111299646*005010X231A1~AK1*HS*029664*005010X279A1~AK9*R*1*1*0*6~SE*4*111299646~GE*1*111299646~IEA*1*111299646~