ISA*00*          *00*          *ZZ*1487113239     *ZZ*1073904009     *251222*1312*^*00501*000001298*0*P*>~
GS*HS*1073904009*1073904009*251222*1312*1073904009*X*005010X279A1~
ST*270*000001298*005010X279A1~
BHT*0022*13*000001298*2512356*1312~
HL*1**20*1~
NM1*PR*2*AETNA MEDICARE ADVANTAGE*****PI*600114~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*HASSELL*MYRNA****MI*101223793300~
DMG*D8*19410703*F~
DTP*291*RD8*20251222-20260322~
EQ*42~
EQ*30~
SE*14*000001298~
GE*1*1298~
IEA*1*000001298~