Raw X12 — CIN VC53056M

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1924*|*00501*649060397*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1924*060397*X*005010X279A1~ST*270*0397*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*VC53056M~EQ*30~DTP*291*D8*20260814~SE*13*0397~GE*1*060397~IEA*1*649060397~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1524*^*00501*143422736*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1524*143422736*X*005010X231A1~ST*999*143422736*005010X231A1~AK1*HS*060397*005010X279A1~AK9*R*1*1*0*6~SE*4*143422736~GE*1*143422736~IEA*1*143422736~