ISA*00*          *00*          *ZZ*BS15000504     *ZZ*15004          *250723*1307*^*00501*000000027*0*P*>~
GS*HS*15004*15004*250723*1307*1457998957*X*005010X279A1~
ST*270*000000027*005010X279A1~
BHT*0022*13*000000027*2507204*1307~
HL*1**20*1~
NM1*PR*2*MEDICARE*****PI*15004~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*MONROE*DAVID****MI*1G96GF3FK65~
DMG*D8*19390619*M~
DTP*291*RD8*20250723-20251021~
EQ*42~
EQ*30~
SE*14*000000027~
GE*1*27~
IEA*1*000000027~