ISA*00*          *00*          *ZZ*xxxxx          *ZZ*600118         *260406*1604*^*00501*000001993*0*P*>~
GS*HS*600118*600118*260406*1604*1073904009*X*005010X279A1~
ST*270*000001993*005010X279A1~
BHT*0022*13*000001993*260496*1604~
HL*1**20*1~
NM1*PR*2*AETNA*****PI*10011~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*DEWALT*MICHAEL****MI*101817417600~
DMG*D8*19540202*M~
DTP*291*RD8*20260406-20260705~
EQ*42~
EQ*30~
SE*14*000001993~
GE*1*1993~
IEA*1*000001993~

