ISA*00*          *00*          *ZZ*xxxxx          *ZZ*600118         *260908*0909*^*00501*000002721*0*P*>~
GS*HS*600118*600118*260908*0909*1073904009*X*005010X279A1~
ST*270*000002721*005010X279A1~
BHT*0022*13*000002721*2609251*0909~
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*CRUDUP*HAROLD****MI*101526431400~
DMG*D8*19400606*M~
DTP*291*RD8*20260908-20261207~
EQ*42~
EQ*30~
SE*14*000002721~
GE*1*2721~
IEA*1*000002721~

