Raw X12 — CIN TV86365S

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1924*|*00501*649042612*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1924*042612*X*005010X279A1~ST*270*2612*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*TV86365S~EQ*30~DTP*291*D8*20260814~SE*13*2612~GE*1*042612~IEA*1*649042612~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1523*^*00501*672013454*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1523*672013454*X*005010X231A1~ST*999*672013454*005010X231A1~AK1*HS*042612*005010X279A1~AK9*R*1*1*0*6~SE*4*672013454~GE*1*672013454~IEA*1*672013454~