Raw X12 — CIN YZ16153N

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*2004*|*00501*565065704*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*065704*X*005010X279A1~ST*270*5704*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*YZ16153N~EQ*30~DTP*291*D8*20260813~SE*13*5704~GE*1*065704~IEA*1*565065704~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*343979149*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*343979149*X*005010X231A1~ST*999*343979149*005010X231A1~AK1*HS*065704*005010X279A1~AK9*R*1*1*0*6~SE*4*343979149~GE*1*343979149~IEA*1*343979149~