ISA*00*          *00*          *ZZ*000000         *ZZ*000000         *260312*1515*^*00501*000000049*0*P*>~
GS*HS*000000*000000*260312*1515*1043536642*X*005010X279A1~
ST*270*000000049*005010X279A1~
BHT*0022*13*000000049*260371*1515~
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*LEONARDO*EPIS****MI*3A81E95HD19~
DMG*D8*19450528*M~
DTP*291*RD8*20260312-20260610~
EQ*42~
EQ*30~
SE*14*000000049~
GE*1*49~
IEA*1*000000049~