ISA*00*          *00*          *ZZ*1457998957     *ZZ*3432           *250813*1208*^*00501*000000080*0*P*>~
GS*HS*3432*3432*250813*1208*1457998957*X*005010X279A1~
ST*270*000000080*005010X279A1~
BHT*0022*13*000000080*2508225*1208~
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*IRWIN*JOYCE****MI*A97050372~
DMG*D8*19510223*F~
DTP*291*RD8*20250813-20251111~
EQ*42~
EQ*30~
SE*14*000000080~
GE*1*80~
IEA*1*000000080~

