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Raw X12 — CIN NE26186B
270 Request
ISA*00* *00* *ZZ*00ND *ZZ*EMEDNYREL *260812*2004*|*00501*565072710*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*072710*X*005010X279A1~ST*270*2710*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*NE26186B~EQ*30~DTP*291*D8*20260813~SE*13*2710~GE*1*072710~IEA*1*565072710~
271 Response
ISA*00* *00* *ZZ*EMEDNYREL *ZZ*00ND *260812*1604*^*00501*480562934*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*480562934*X*005010X231A1~ST*999*480562934*005010X231A1~AK1*HS*072710*005010X279A1~AK9*R*1*1*0*6~SE*4*480562934~GE*1*480562934~IEA*1*480562934~