Raw X12 — CIN WR71127E

ISA*00*          *00*          *ZZ*00ND           *ZZ*EMEDNYREL      *260813*1924*|*00501*649086632*1*P*:~GS*HS*00ND*EMEDNYREL*20260813*1924*086632*X*005010X279A1~ST*270*6632*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*WR71127E~EQ*30~DTP*291*D8*20260814~SE*13*6632~GE*1*086632~IEA*1*649086632~

ISA*00*          *00*          *ZZ*EMEDNYREL      *ZZ*00ND           *260813*1524*^*00501*397602306*0*P*|~GS*FA*EMEDNYREL*00ND*20260813*1524*397602306*X*005010X231A1~ST*999*397602306*005010X231A1~AK1*HS*086632*005010X279A1~AK9*R*1*1*0*6~SE*4*397602306~GE*1*397602306~IEA*1*397602306~