ISA*00*          *00*          *ZZ*               *ZZ*               *251212*1212*^*00501*000001014*0*P*>~
GS*HS***251212*1212*1073904009*X*005010X279A1~
ST*270*000001014*005010X279A1~
BHT*0022*13*000001014*2512346*1212~
HL*1**20*1~
NM1*PR*2*UNITED HEALTH CARE - PUBLIC SECTOR VA*****PI*600086~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*WILKINS*MAURICE****MI*116829385~
DMG*D8*19811125*M~
DTP*291*RD8*20251212-20260312~
EQ*42~
EQ*30~
SE*14*000001014~
GE*1*1014~
IEA*1*000001014~