ISA*00*          *00*          *ZZ*1457998957     *ZZ*IHCS1          *251023*1210*^*00501*000000086*0*P*>~
GS*HS*IHCS1*IHCS1*251023*1210*1457998957*X*005010X279A1~
ST*270*000000086*005010X279A1~
BHT*0022*13*000000086*2510296*1210~
HL*1**20*1~
NM1*PR*2*INTEGRATED HOME CARE SVC*****PI*IHCS1~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*DURKIT*BONNIE****MI*DCA275~
DMG*D8*19420625*F~
DTP*291*RD8*20251023-20260121~
EQ*42~
EQ*30~
SE*14*000000086~
GE*1*86~
IEA*1*000000086~

