ISA*00*          *00*          *ZZ*1457998957     *ZZ*3432           *250811*1508*^*00501*000000078*0*P*>~
GS*HS*3432*3432*250811*1508*1457998957*X*005010X279A1~
ST*270*000000078*005010X279A1~
BHT*0022*13*000000078*2508223*1508~
HL*1**20*1~
NM1*PR*2*UHC AHCCCS/ALTCS*****PI*3432~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*ALLEN*NORMAN****MI*109309021~
DMG*D8*19691211*M~
DTP*291*RD8*20250811-20251109~
EQ*42~
EQ*30~
SE*14*000000078~
GE*1*78~
IEA*1*000000078~

