ISA*00*          *00*          *ZZ*1059619        *ZZ*263086998      *250828*1608*^*00501*000000157*0*P*>~
GS*HS*263086998*263086998*250828*1608*1356449631*X*005010X279A1~
ST*270*000000157*005010X279A1~
BHT*0022*13*000000157*2508240*1608~
HL*1**20*1~
NM1*PR*2*UNITED HEALTH CARE PEDIATRIC*****PI*87726~
HL*2*1*21*1~
NM1*1P*2*DELTA HEALTH HOME HEALTH*****XX*1356449631~
HL*3*2*22*0~
NM1*IL*1*TESTINGPTPED*AIMEE****MI*376OPK9996F~
DMG*D8*20240501*F~
DTP*291*RD8*20250828-20251126~
EQ*42~
EQ*30~
SE*14*000000157~
GE*1*157~
IEA*1*000000157~