ISA*00*          *00*          *ZZ*               *ZZ*               *260123*1101*^*00501*000001525*0*P*>~
GS*HS***260123*1101*1073904009*X*005010X279A1~
ST*270*000001525*005010X279A1~
BHT*0022*13*000001525*260123*1101~
HL*1**20*1~
NM1*PR*2*UHC AARP MEDICARE*****PI*600101~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*HATTORI*KEN****MI*AAAAAAA~
DMG*D8*19440221*M~
DTP*291*RD8*20260123-20260423~
EQ*42~
EQ*30~
SE*14*000001525~
GE*1*1525~
IEA*1*000001525~