ISA*00*          *00*          *ZZ*xxxxx          *ZZ*15004          *251230*1012*^*00501*000001310*0*P*>~
GS*HS*15004*15004*251230*1012*1073904009*X*005010X279A1~
ST*270*000001310*005010X279A1~
BHT*0022*13*000001310*2512364*1012~
HL*1**20*1~
NM1*PR*2*MEDICARE PPS*****PI*10000~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*LEE*MYRNA****MI*4PH8XR5RJ42~
DMG*D8*19430117*M~
DTP*291*RD8*20251230-20260330~
EQ*42~
EQ*30~
SE*14*000001310~
GE*1*1310~
IEA*1*000001310~

