ISA*00*          *00*          *ZZ*10353          *ZZ*10353          *250826*1608*^*00501*000000448*0*P*>~
GS*HS*10353*10353*250826*1608*1073904009*X*005010X279A1~
ST*270*000000448*005010X279A1~
BHT*0022*13*000000448*2508238*1608~
HL*1**20*1~
NM1*PR*2*HUMANA GOLD CHOICE*****PI*6013~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*GRAY*RAOMA****MI*H65778798~
DMG*D8*19520423*M~
DTP*291*RD8*20250826-20251124~
EQ*42~
EQ*30~
SE*14*000000448~
GE*1*448~
IEA*1*000000448~