ISA*00*          *00*          *ZZ*BS15000504     *ZZ*15004          *260227*0848*^*00501*000047090*0*P*>~
GS*HS*15004*15004*260227*0848*1457998957*X*005010X279A1~
ST*270*000047090*005010X279A1~
BHT*0022*13*000047090*260258*0848~
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*TOYA*VINCENT****MI*RPHC590~
DMG*D8*09630131*M~
DTP*291*RD8*20260227-20260528~
EQ*42~
EQ*30~
SE*14*000047090~
GE*1*47090~
IEA*1*000047090~