ISA*00*          *00*          *ZZ*000000         *ZZ*000000         *260310*0803*^*00501*000000036*0*P*>~
GS*HS*000000*000000*260310*0803*1043536642*X*005010X279A1~
ST*270*000000036*005010X279A1~
BHT*0022*13*000000036*260369*0803~
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*ONE*TEST****MI*5W46E57XN55~
DMG*D8*19400518*M~
DTP*291*RD8*20260310-20260608~
EQ*42~
EQ*30~
SE*14*000000036~
GE*1*36~
IEA*1*000000036~