ISA*00*          *00*          *ZZ*63092          *ZZ*0000           *250808*1308*^*00501*000000359*0*P*>~
GS*HS*0000*0000*250808*1308*1073904009*X*005010X279A1~
ST*270*000000359*005010X279A1~
BHT*0022*13*000000359*2508220*1308~
HL*1**20*1~
NM1*PR*2*CIGNA PPO POS OPEN ACCESS*****PI*10158~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*WHALEN*KATHLEEN****MI*U3207977101~
DMG*D8*19700624*F~
DTP*291*RD8*20250808-20251106~
EQ*42~
EQ*30~
SE*14*000000359~
GE*1*359~
IEA*1*000000359~