ISA*00*          *00*          *ZZ*EMEDNYBAT      *ZZ*QCQ1           *050101*1200*U*00401*000000054*0*T*:
GS*HI*EMEDNYBAT*QCQ1*20050101*0717*141797357*X*004010X094A1
ST*278*0002
BHT*0078*11*20030721071727*20030721*071727
HL*1**20*1
NM1*X3*2*NYSDOH*****PI*141797357
PER*IC*eMedNY PROVIDER SERVICES*TE*8003439000
HL*2*1*21*1
NM1*1P*1******46*11111111
REF*ZH*00358690
HL*3*2*22*1
TRN*1*GS192050236782100@03202071727*1141797357
NM1*IL*1*MEMBER*IMA****MI*XX22222X
REF*HJ*02
HL*4*3*19*1
NM1*1T*1******46*11111111
REF*ZH*01234567
HL*5*4*SS*0
UM*HS*I*2
HCR*A1*93387654321
DTP*472*D8*20030721
HI*BO:A4554:::300
SE*21*0002
GE*1*141797357
IEA*1*000000054