ISA*00*          *00*          *ZZ*               *ZZ*               *260302*1150*^*00501*000000002*0*P*>~
GS*HS***260302*1150*1043536642*X*005010X279A1~
ST*270*000000002*005010X279A1~
BHT*0022*13*000000002*260361*1150~
HL*1**20*1~
NM1*PR*2*MEDICARE*****PI*12345~
HL*2*1*21*1~
NM1*1P*2*MEDI LINK HEALTH SERVICES LLC*****XX*1043536642~
HL*3*2*22*0~
NM1*IL*1*LEDERER*WILLIAM****MI*9XE0DH4MX29~
DMG*D8*19330412*M~
DTP*291*RD8*20260302-20260531~
EQ*42~
EQ*30~
SE*14*000000002~
GE*1*2~
IEA*1*000000002~