ISA*00*          *00*          *ZZ*10353          *ZZ*10353          *260422*1004*^*00501*000002149*0*P*>~
GS*HS*10353*10353*260422*1004*1073904009*X*005010X279A1~
ST*270*000002149*005010X279A1~
BHT*0022*13*000002149*2604112*1004~
HL*1**20*1~
NM1*PR*2*HUMANA GOLD CHOICE*****PI*6013~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*GADIA*CORAZON****MI*H79173375~
DMG*D8*19440201*F~
DTP*291*RD8*20260422-20260721~
EQ*42~
EQ*30~
SE*14*000002149~
GE*1*2149~
IEA*1*000002149~

