Raw X12 — CIN MA20790E

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1923*|*00501*649024631*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1923*024631*X*005010X279A1~ST*270*4631*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*MA20790E~EQ*30~DTP*291*D8*20260814~SE*13*4631~GE*1*024631~IEA*1*649024631~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1523*^*00501*969707365*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1523*969707365*X*005010X231A1~ST*999*969707365*005010X231A1~AK1*HS*024631*005010X279A1~AK9*R*1*1*0*6~SE*4*969707365~GE*1*969707365~IEA*1*969707365~