ISA*00*          *00*          *ZZ*EMEDNYBAT      *ZZ*QCQC           *051129*1300*U*00401*333000048*0*P*:~GS*HP*EMEDNYBAT*QCQC*20051129*13004600*333000048*X*004010X091A1~ST*835*201400020~BPR*I*0*C*NON************20051031~TRN*1*NO PAYMENT*1141797357~REF*EV*QCQC~REF*F2*004010X091A1~DTM*405*20051031~N1*PR*NYSDOH~N3*OFFICE OF MEDICAID MANAGEMENT*CORNING TOWER, EMPIRE STATE PLAZA~N4*ALBANY*NY*122370080~N1*PE*BROWN JOHN                        DDS*FI*987654321~REF*PQ*87654321~LX*1~CLP*E0710TDINVALID*22*-17*-17**MC*0529300000017821~NM1*QC*1*BROWN*JANEY*I***MI*DU48950N~NM1*82*1******MC*87654321~REF*EA*E0710TDINVALID~REF*F8*0511900000008020~DTM*232*20050303~DTM*233*20050303~PER*CX*JIM BROWN PEER ORGANIZATION~SVC*AD:D9420*-17*-17**1~DTM*472*20050303~REF*6R*301~REF*LU*003~AMT*B6*-87~LQ*HE*N10~PLB*87654321*20051231*FB:000000000000000000000000000000*-17~SE*28*201400020~GE*1*333000048~IEA*1*333000048~