ISA*00*          *00*          *ZZ*               *ZZ*               *260304*1427*^*00501*000000015*0*P*>~
GS*HS***260304*1427*1043536642*X*005010X279A1~
ST*270*000000015*005010X279A1~
BHT*0022*13*000000015*260363*1427~
HL*1**20*1~
NM1*PR*2*UNITEDHEALTHCARE*****PI*87726~
HL*2*1*21*1~
NM1*1P*2*MEDI LINK HEALTH SERVICES LLC*****XX*1043536642~
HL*3*2*22*0~
NM1*IL*1*SMITH*KENNETH****MI*913957812~
DMG*D8*19540425*M~
DTP*291*RD8*20260304-20260602~
EQ*42~
EQ*30~
SE*14*000000015~
GE*1*15~
IEA*1*000000015~