ISA*00*          *00*          *ZZ*87726          *ZZ*87726          *260817*1308*^*00501*000002692*0*P*>~
GS*HS*87726*87726*260817*1308*1073904009*X*005010X279A1~
ST*270*000002692*005010X279A1~
BHT*0022*13*000002692*2608229*1308~
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*MEREDITH*ROBERT****MI*122124444~
DMG*D8*19690115*M~
DTP*291*RD8*20260817-20261115~
EQ*42~
EQ*30~
SE*14*000002692~
GE*1*2692~
IEA*1*000002692~