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Raw X12 — CIN UZ05835Q

270 Request
ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1924*|*00501*649041379*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1924*041379*X*005010X279A1~ST*270*1379*005010X279A1~BHT*0022*13*202608131924000001*20260813*1924~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*202608131924000001*00000000ND~NM1*IL*1******MI*UZ05835Q~EQ*30~DTP*291*D8*20260814~SE*13*1379~GE*1*041379~IEA*1*649041379~
271 Response
ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1523*^*00501*954057857*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1523*954057857*X*005010X231A1~ST*999*954057857*005010X231A1~AK1*HS*041379*005010X279A1~AK9*R*1*1*0*6~SE*4*954057857~GE*1*954057857~IEA*1*954057857~