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GS*HS***260325*1003*1073904009*X*005010X279A1~
ST*270*000001942*005010X279A1~
BHT*0022*13*000001942*260384*1003~
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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*SALANATIN*EDITH****MI*134169532~
DMG*D8*19630913*F~
DTP*291*RD8*20260325-20260623~
EQ*42~
EQ*30~
SE*14*000001942~
GE*1*1942~
IEA*1*000001942~

