ISA*00*          *00*          *ZZ*EMEDNYBAT      *ZZ*QCQC           *051129*1300*U*00401*333000022*0*P*:~GS*HP*EMEDNYBAT*QCQC*20051129*13004600*333000022*X*004010X091A1~ST*835*201400005~BPR*I*20*C*CHK************20051031~TRN*1*000000099201072*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*JAMES SMITH MEDICAL CTR*FI*131740114~REF*PQ*87654321~LX*1~CLP*CPIC1-00098-3*22*-1000*-110.24**MC*0516500000007620*13*7~CAS*CR*A2*-889.76*0~NM1*QC*1*DOE*JOHN*J***MI*VU99999J~NM1*82*1******MC*87654321~REF*EA*12458976 01~REF*9A*1609~DTM*232*20050612~DTM*233*20050613~PER*CX*RETRO RATE REVERSAL~CLP*CPIC1-00098-3*1*1000*130.24**MC*0516500000007620*13*7~CAS*CO*A2*869.76*0~NM1*QC*1*DOE*JOHN*J***MI*VU99999J~NM1*82*1******MC*87654321~REF*EA*12458976 01~REF*9A*1609~DTM*232*20050612~DTM*233*20050613~PER*CX*RETRO RATE CORRECTION~SE*31*201400005~GE*1*333000022~IEA*1*333000022~