ISA*00*          *00*          *ZZ*               *ZZ*               *260315*0903*^*00501*000001864*0*P*>~
GS*HS***260315*0903*1073904009*X*005010X279A1~
ST*270*000001864*005010X279A1~
BHT*0022*13*000001864*260374*0903~
HL*1**20*1~
NM1*PR*2*ANTHEM BCBS*****PI*600113~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*THOMPSON*CRAIG****MI*DPZAN3632282~
DMG*D8*19680417*M~
DTP*291*RD8*20260315-20260613~
EQ*42~
EQ*30~
SE*14*000001864~
GE*1*1864~
IEA*1*000001864~