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GS*HS***260830*1408*1073904009*X*005010X279A1~
ST*270*000002718*005010X279A1~
BHT*0022*13*000002718*2608242*1408~
HL*1**20*1~
NM1*PR*2*ANTHEM HEALTHKEEPERS CCC PLUS*****PI*600112~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*BEGOM*MORIAM****MI*VAQ731845037~
DMG*D8*19380418*M~
DTP*291*RD8*20260830-20261128~
EQ*42~
EQ*30~
SE*14*000002718~
GE*1*2718~
IEA*1*000002718~

