Raw X12 — CIN UA22110H

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*2004*|*00501*565052689*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*052689*X*005010X279A1~ST*270*2689*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*UA22110H~EQ*30~DTP*291*D8*20260813~SE*13*2689~GE*1*052689~IEA*1*565052689~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*611671605*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*611671605*X*005010X231A1~ST*999*611671605*005010X231A1~AK1*HS*052689*005010X279A1~AK9*R*1*1*0*6~SE*4*611671605~GE*1*611671605~IEA*1*611671605~