ISA*00*          *00*          *ZZ*1059619        *ZZ*263086998      *250807*1608*^*00501*000000126*0*P*>~
GS*HS*263086998*263086998*250807*1608*1356449631*X*005010X279A1~
ST*270*000000126*005010X279A1~
BHT*0022*13*000000126*2508219*1608~
HL*1**20*1~
NM1*PR*2*MEDICARE*****PI*60000~
HL*2*1*21*1~
NM1*1P*2*DELTA HEALTH HOME HEALTH*****XX*1356449631~
HL*3*2*22*0~
NM1*IL*1*CURUTCHET*SHERON****MI*2VP0K53XH06~
DMG*D8*19430627*F~
DTP*291*RD8*20250807-20251105~
EQ*42~
EQ*30~
SE*14*000000126~
GE*1*126~
IEA*1*000000126~