ISA*00*          *00*          *ZZ*ZZZZZZZZZ      *ZZ*ZZZZZZZZZ      *250806*1208*^*00501*000000059*0*P*>~
GS*HS*ZZZZZZZZZ*ZZZZZZZZZ*250806*1208*1457998957*X*005010X279A1~
ST*270*000000059*005010X279A1~
BHT*0022*13*000000059*2508218*1208~
HL*1**20*1~
NM1*PR*2*HHS PURCHASE REF CARE*****PI*RPHC~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*GUTIERREZ*JASMINE****MI*RPHC10370~
DMG*D8*19910914*F~
DTP*291*RD8*20250806-20251104~
EQ*42~
EQ*30~
SE*14*000000059~
GE*1*59~
IEA*1*000000059~

