ISA*00*          *00*          *ZZ*1457998957     *ZZ*SB530          *260126*1301*^*00501*000000327*0*P*>~
GS*HS*SB530*SB530*260126*1301*1457998957*X*005010X279A1~
ST*270*000000327*005010X279A1~
BHT*0022*13*000000327*260126*1301~
HL*1**20*1~
NM1*PR*2*BLUE CROSS BLUE SHIELD*****PI*SB530~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*OSTREICHER*MARK****MI*XBS852594035~
DMG*D8*19480823*M~
DTP*291*RD8*20260126-20260426~
EQ*42~
EQ*30~
SE*14*000000327~
GE*1*327~
IEA*1*000000327~

