ISA*00*          *00*          *ZZ*BS15000504     *ZZ*15004          *250818*1308*^*00501*000000094*0*P*>~
GS*HS*15004*15004*250818*1308*1457998957*X*005010X279A1~
ST*270*000000094*005010X279A1~
BHT*0022*13*000000094*2508230*1308~
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*TEST*FAX****MI*5A97T15GD69~
DMG*D8*19600818*M~
DTP*291*RD8*20250818-20251116~
EQ*42~
EQ*30~
SE*14*000000094~
GE*1*94~
IEA*1*000000094~