Raw X12 — CIN SW89920K

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1923*|*00501*649015357*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1923*015357*X*005010X279A1~ST*270*5357*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*SW89920K~EQ*30~DTP*291*D8*20260814~SE*13*5357~GE*1*015357~IEA*1*649015357~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1523*^*00501*710009851*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1523*710009851*X*005010X231A1~ST*999*710009851*005010X231A1~AK1*HS*015357*005010X279A1~AK9*R*1*1*0*6~SE*4*710009851~GE*1*710009851~IEA*1*710009851~