ISA*00*          *00*          *ZZ*1457998957     *ZZ*SKAZ0          *260702*1007*^*00501*000000055*0*P*>~
GS*HS*SKAZ0*SKAZ0*260702*1007*1457998957*X*005010X279A1~
ST*270*000000055*005010X279A1~
BHT*0022*13*000000055*2607183*1007~
HL*1**20*1~
NM1*PR*2*AHCCCS*****PI*SKAZ0~
HL*2*1*21*1~
NM1*1P*2*DEVOTION HOME HEALTH CARE, LLC*****XX*1457998957~
HL*3*2*22*0~
NM1*IL*1*TELLER*ROSIE****MI*A00261870~
DMG*D8*19541204*F~
DTP*291*RD8*20260702-20260930~
EQ*42~
EQ*30~
SE*14*000000055~
GE*1*55~
IEA*1*000000055~

