ISA*00*          *00*          *ZZ*               *ZZ*               *260223*1502*^*00501*000001778*0*P*>~
GS*HS***260223*1502*1073904009*X*005010X279A1~
ST*270*000001778*005010X279A1~
BHT*0022*13*000001778*260254*1502~
HL*1**20*1~
NM1*PR*2*BCBS CAREFIRST*****PI*600110~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*DUGOVICH*ERIC****MI*ZGP825526245~
DMG*D8*19620807*M~
DTP*291*RD8*20260223-20260524~
EQ*42~
EQ*30~
SE*14*000001778~
GE*1*1778~
IEA*1*000001778~