ISA*00*          *00*          *ZZ*1457998957     *ZZ*SB530          *260306*1703*^*00501*000000015*0*P*>~
GS*HS*SB530*SB530*260306*1703*1457998957*X*005010X279A1~
ST*270*000000015*005010X279A1~
BHT*0022*13*000000015*260365*1703~
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*PAKHTUSOVA*NATALYA****MI*PXO851194718~
DMG*D8*19530709*F~
DTP*291*RD8*20260306-20260604~
EQ*42~
EQ*30~
SE*14*000000015~
GE*1*15~
IEA*1*000000015~