ISA*00*          *00*          *ZZ*BS15000504     *ZZ*15004          *250726*2007*^*00501*000000041*0*P*>~
GS*HS*15004*15004*250726*2007*1457998957*X*005010X279A1~
ST*270*000000041*005010X279A1~
BHT*0022*13*000000041*2507207*2007~
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*MANN*HARJEET****MI*4DR4EP6GM61~
DMG*D8*19510421*F~
DTP*291*RD8*20250726-20251024~
EQ*42~
EQ*30~
SE*14*000000041~
GE*1*41~
IEA*1*000000041~