ISA*00*          *00*          *ZZ*10353          *ZZ*10353          *260511*1005*^*00501*000001710*0*P*>~
GS*HS*10353*10353*260511*1005*1073904009*X*005010X279A1~
ST*270*000001710*005010X279A1~
BHT*0022*13*000001710*2605131*1005~
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*ABARCA*NICOLAS****MI*H65411361~
DMG*D8*19520320*M~
DTP*291*RD8*20260511-20260809~
EQ*42~
EQ*30~
SE*14*000001710~
GE*1*1710~
IEA*1*000001710~

