ISA*00*          *00*          *ZZ*1457998957     *ZZ*87726          *260528*1305*^*00501*000047112*0*P*>~
GS*HS*87726*87726*260528*1305*1457998957*X*005010X279A1~
ST*270*000047112*005010X279A1~
BHT*0022*13*000047112*2605148*1305~
HL*1**20*1~
NM1*PR*2*UHC MEDICARE ADVANTAGE*****PI*87726~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*MENESES*VICTORIA****MI*122439665~
DMG*D8*19550320*F~
DTP*291*RD8*20260528-20260826~
EQ*42~
EQ*30~
SE*14*000047112~
GE*1*47112~
IEA*1*000047112~

