ISA*00*          *00*          *ZZ*               *ZZ*               *250811*1008*^*00501*000000369*0*P*>~
GS*HS***250811*1008*1073904009*X*005010X279A1~
ST*270*000000369*005010X279A1~
BHT*0022*13*000000369*2508223*1008~
HL*1**20*1~
NM1*PR*2*UNITED HEALTH CARE  INCL UMR*****PI*13~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*BEEMAN*JASON****MI*919108360~
DMG*D8*20000706*M~
DTP*291*RD8*20250811-20251109~
EQ*42~
EQ*30~
SE*14*000000369~
GE*1*369~
IEA*1*000000369~