ISA*00*          *00*          *ZZ*BS15000504     *ZZ*15004          *251124*1811*^*00501*000000215*0*P*>~
GS*HS*15004*15004*251124*1811*1457998957*X*005010X279A1~
ST*270*000000215*005010X279A1~
BHT*0022*13*000000215*2511328*1811~
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*TESTING*GINIE****MI*7GJ1QE6JE38~
DMG*D8*19500926*F~
DTP*291*RD8*20251124-20260222~
EQ*42~
EQ*30~
SE*14*000000215~
GE*1*215~
IEA*1*000000215~