ISA*00*          *00*          *ZZ*xxxxx          *ZZ*52095          *260309*1303*^*00501*000000397*0*P*>~
GS*HS*52095*52095*260309*1303*1073904009*X*005010X279A1~
ST*270*000000397*005010X279A1~
BHT*0022*13*000000397*260368*1303~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE MEDICARE ADVANTAGE 1*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*ASBURY*BOBBIE****MI*671283547~
DMG*D8*19390406*M~
DTP*291*RD8*20260309-20260607~
EQ*42~
EQ*30~
SE*14*000000397~
GE*1*397~
IEA*1*000000397~