ISA*00*          *00*          *ZZ*1487113239     *ZZ*87726          *260306*1003*^*00501*000001840*0*P*>~
GS*HS*87726*87726*260306*1003*1073904009*X*005010X279A1~
ST*270*000001840*005010X279A1~
BHT*0022*13*000001840*260365*1003~
HL*1**20*1~
NM1*PR*2*UNITED HEALTH CARE INCL UMR*****PI*87726~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*FARMER*ALICE****MI*994183619~
DMG*D8*19750905*F~
DTP*291*RD8*20260306-20260604~
EQ*42~
EQ*30~
SE*14*000001840~
GE*1*1840~
IEA*1*000001840~

