ISA*00*          *00*          *ZZ*1059619        *ZZ*263086998      *250807*1508*^*00501*000000124*0*P*>~
GS*HS*263086998*263086998*250807*1508*1356449631*X*005010X279A1~
ST*270*000000124*005010X279A1~
BHT*0022*13*000000124*2508219*1508~
HL*1**20*1~
NM1*PR*2*TANGO HUMANA*****PI*26748~
HL*2*1*21*1~
NM1*1P*2*DELTA HEALTH HOME HEALTH*****XX*1356449631~
HL*3*2*22*0~
NM1*IL*1*NATALE*MICHAEL****MI*H68757385~
DMG*D8*19461009*M~
DTP*291*RD8*20250807-20251105~
EQ*42~
EQ*30~
SE*14*000000124~
GE*1*124~
IEA*1*000000124~