ISA*00*          *00*          *ZZ*               *ZZ*               *260316*0303*^*00501*000001773*0*P*>~
GS*HS***260316*0303*1073904009*X*005010X279A1~
ST*270*000001773*005010X279A1~
BHT*0022*13*000001773*260375*0303~
HL*1**20*1~
NM1*PR*2*UNITED HEALTH CARE - MD HEALTH CHOICE*****PI*600085~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*GARDNER*PEARL****MI*124808303~
DMG*D8*19550903*F~
DTP*291*RD8*20260316-20260614~
EQ*42~
EQ*30~
SE*14*000001773~
GE*1*1773~
IEA*1*000001773~