ISA*00*          *00*          *ZZ*1457998957     *ZZ*3432           *260304*1710*^*00501*000047096*0*P*>~
GS*HS*3432*3432*260304*1710*1457998957*X*005010X279A1~
ST*270*000047096*005010X279A1~
BHT*0022*13*000047096*260363*1710~
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*BUTLER*CHARMELLE****MI*104523838~
DMG*D8*19740114*F~
DTP*291*RD8*20260304-20260602~
EQ*42~
EQ*30~
SE*14*000047096~
GE*1*47096~
IEA*1*000047096~

