ISA*00*          *00*          *ZZ*1457998957     *ZZ*3432           *251111*1111*^*00501*000000204*0*P*>~
GS*HS*3432*3432*251111*1111*1457998957*X*005010X279A1~
ST*270*000000204*005010X279A1~
BHT*0022*13*000000204*2511315*1111~
HL*1**20*1~
NM1*PR*2*UHC AHCCCS/ALTCS*****PI*03432~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*VALDEZ*BRENDA****MI*A24730617~
DMG*D8*19760625*F~
DTP*291*RD8*20251111-20260209~
EQ*42~
EQ*30~
SE*14*000000204~
GE*1*204~
IEA*1*000000204~