ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260724*1218*^*00501*000000152*0*P*>~
GS*HS*ABILITY837*ABILITY837*260724*1218*1184225021*X*005010X279A1~
ST*270*000000152*005010X279A1~
BHT*0022*13*000000152*2607205*1218~
HL*1**20*1~
NM1*PR*2*HUMANA MEDICARE ADVANTAGE*****PI*61101~
HL*2*1*21*1~
NM1*1P*2*EVERGREEN HOME HEALTH*****XX*1184225021~
HL*3*2*22*0~
NM1*IL*1*LAWRENCE*ROBB****MI*H65283467~
DMG*D8*19571122*M~
DTP*291*RD8*20260724-20261022~
EQ*42~
EQ*30~
SE*14*000000152~
GE*1*152~
IEA*1*000000152~