ISA*00*          *00*          *ZZ*xxxxx          *ZZ*600118         *250730*1407*^*00501*000000330*0*P*>~
GS*HS*600118*600118*250730*1407*1073904009*X*005010X279A1~
ST*270*000000330*005010X279A1~
BHT*0022*13*000000330*2507211*1407~
HL*1**20*1~
NM1*PR*2*AETNA*****PI*10011~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*CUNNINGHAM*DONALD****MI*976122892015~
DMG*D8*19650629*M~
DTP*291*RD8*20250730-20251028~
EQ*42~
EQ*30~
SE*14*000000330~
GE*1*330~
IEA*1*000000330~

