ISA*00*          *00*          *ZZ*               *ZZ*               *260207*1502*^*00501*000001698*0*P*>~
GS*HS***260207*1502*1073904009*X*005010X279A1~
ST*270*000001698*005010X279A1~
BHT*0022*13*000001698*260238*1502~
HL*1**20*1~
NM1*PR*2*CAREFIRST BLUECHOICE  HMO*****PI*6020~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*NAAS*MARTHA****MI*XIB905394648~
DMG*D8*19730801*F~
DTP*291*RD8*20260207-20260508~
EQ*42~
EQ*30~
SE*14*000001698~
GE*1*1698~
IEA*1*000001698~

