Raw X12 — CIN VC65083K

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*2004*|*00501*565045680*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*045680*X*005010X279A1~ST*270*5680*005010X279A1~BHT*0022*13*202608122004000001*20260812*2004~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*202608122004000001*00000000ND~NM1*IL*1******MI*VC65083K~EQ*30~DTP*291*D8*20260813~SE*13*5680~GE*1*045680~IEA*1*565045680~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*356075171*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*356075171*X*005010X231A1~ST*999*356075171*005010X231A1~AK1*HS*045680*005010X279A1~AK9*R*1*1*0*6~SE*4*356075171~GE*1*356075171~IEA*1*356075171~