ISA*00*          *00*          *ZZ*1487113239     *ZZ*1073904009     *260821*1608*^*00501*000002700*0*P*>~
GS*HS*1073904009*1073904009*260821*1608*1073904009*X*005010X279A1~
ST*270*000002700*005010X279A1~
BHT*0022*13*000002700*2608233*1608~
HL*1**20*1~
NM1*PR*2*AETNA MEDICARE ADVANTAGE*****PI*600114~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*PECKINPAUGH*JUDY****MI*101200200200~
DMG*D8*19460411*F~
DTP*291*RD8*20260821-20261119~
EQ*42~
EQ*30~
SE*14*000002700~
GE*1*2700~
IEA*1*000002700~

