ISA*00*          *00*          *ZZ*BS15000504     *ZZ*15004          *250829*1608*^*00501*000000133*0*P*>~
GS*HS*15004*15004*250829*1608*1457998957*X*005010X279A1~
ST*270*000000133*005010X279A1~
BHT*0022*13*000000133*2508241*1608~
HL*1**20*1~
NM1*PR*2*MEDICARE*****PI*06014~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*DOOLINE*SADIE****MI*8J59MX1MM33~
DMG*D8*19441112*F~
DTP*291*RD8*20250829-20251127~
EQ*42~
EQ*30~
SE*14*000000133~
GE*1*133~
IEA*1*000000133~