ISA*00*          *00*          *ZZ*1457998957     *ZZ*3432           *260702*1007*^*00501*000000053*0*P*>~
GS*HS*3432*3432*260702*1007*1457998957*X*005010X279A1~
ST*270*000000053*005010X279A1~
BHT*0022*13*000000053*2607183*1007~
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*ZACEK*JONATHAN****MI*A42300224~
DMG*D8*19730528*M~
DTP*291*RD8*20260702-20260930~
EQ*42~
EQ*30~
SE*14*000000053~
GE*1*53~
IEA*1*000000053~

