ISA*00*          *00*          *ZZ*1457998957     *ZZ*SKAZ0          *251110*0711*^*00501*000000074*0*P*>~
GS*HS*SKAZ0*SKAZ0*251110*0711*1457998957*X*005010X279A1~
ST*270*000000074*005010X279A1~
BHT*0022*13*000000074*2511314*0711~
HL*1**20*1~
NM1*PR*2*AHCCCS*****PI*SKAZ0~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*MARTINEZ*JOSE****MI*A28860474~
DMG*D8*19741228*M~
DTP*291*RD8*20251110-20260208~
EQ*42~
EQ*30~
SE*14*000000074~
GE*1*74~
IEA*1*000000074~