ISA*00*          *00*          *ZZ*               *ZZ*               *260313*1803*^*00501*000000065*0*P*>~
GS*HS***260313*1803*1043536642*X*005010X279A1~
ST*270*000000065*005010X279A1~
BHT*0022*13*000000065*260372*1803~
HL*1**20*1~
NM1*PR*2*VA COMMUNITY CARE NETWORK EPISODIC*****PI*THMX3~
HL*2*1*21*1~
NM1*1P*2*MEDI LINK HEALTH SERVICES LLC*****XX*1043536642~
HL*3*2*22*0~
NM1*IL*1*LANE*JOHN JOSEPH****MI*1003553217V701869~
DMG*D8*19470926*M~
DTP*291*RD8*20260313-20260611~
EQ*42~
EQ*30~
SE*14*000000065~
GE*1*65~
IEA*1*000000065~