ISA*00*          *00*          *ZZ*10353          *ZZ*10353          *260918*1509*^*00501*000002757*0*P*>~
GS*HS*10353*10353*260918*1509*1073904009*X*005010X279A1~
ST*270*000002757*005010X279A1~
BHT*0022*13*000002757*2609261*1509~
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*GLAZAMITSKY*YEFIM****MI*H58778212~
DMG*D8*19380921*M~
DTP*291*RD8*20260918-20261217~
EQ*42~
EQ*30~
SE*14*000002757~
GE*1*2757~
IEA*1*000002757~

