ISA*00*          *00*          *ZZ*BS15000504     *ZZ*15004          *250729*1107*^*00501*000000045*0*P*>~
GS*HS*15004*15004*250729*1107*1457998957*X*005010X279A1~
ST*270*000000045*005010X279A1~
BHT*0022*13*000000045*2507210*1107~
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*BAPTISTO*STANLEY A.****MI*5WN3V54MY18~
DMG*D8*19501117*M~
DTP*291*RD8*20250729-20251027~
EQ*42~
EQ*30~
SE*14*000000045~
GE*1*45~
IEA*1*000000045~