Raw X12 — CIN WY86298E

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1923*|*00501*649008564*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1923*008564*X*005010X279A1~ST*270*8564*005010X279A1~BHT*0022*13*202608131923000001*20260813*1923~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*202608131923000001*00000000ND~NM1*IL*1******MI*WY86298E~EQ*30~DTP*291*D8*20260814~SE*13*8564~GE*1*008564~IEA*1*649008564~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1523*^*00501*194045734*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1523*194045734*X*005010X231A1~ST*999*194045734*005010X231A1~AK1*HS*008564*005010X279A1~AK9*R*1*1*0*6~SE*4*194045734~GE*1*194045734~IEA*1*194045734~