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Raw X12 — CIN VG45808F

270 Request
ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260812*2004*|*00501*565085722*1*P*:~GS*HS*00ND*EMEDNYREL*20260812*2004*085722*X*005010X279A1~ST*270*5722*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*VG45808F~EQ*30~DTP*291*D8*20260813~SE*13*5722~GE*1*085722~IEA*1*565085722~
271 Response
ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260812*1604*^*00501*352458861*0*P*|~GS*FA*EMEDNYREL*00ND*20260812*1604*352458861*X*005010X231A1~ST*999*352458861*005010X231A1~AK1*HS*085722*005010X279A1~AK9*R*1*1*0*6~SE*4*352458861~GE*1*352458861~IEA*1*352458861~