ISA*00*          *00*          *ZZ*               *ZZ*               *260625*1006*^*00501*000000065*0*P*>~
GS*HS***260625*1006*1457998957*X*005010X279A1~
ST*270*000000065*005010X279A1~
BHT*0022*13*000000065*2606176*1006~
HL*1**20*1~
NM1*PR*2*BCBS MEDICARE ADVANTAGE*****PI*77078~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*BANKHEAD*PENELOPE****MI*XYL842146546~
DMG*D8*19470626*F~
DTP*291*RD8*20260625-20260923~
EQ*42~
EQ*30~
SE*14*000000065~
GE*1*65~
IEA*1*000000065~