ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260724*1853*^*00501*000000159*0*P*>~
GS*HS*ABILITY837*ABILITY837*260724*1853*1184225021*X*005010X279A1~
ST*270*000000159*005010X279A1~
BHT*0022*13*000000159*2607205*1853~
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*LIGHTFOOT*KATHERINE****MI*H98541316~
DMG*D8*19670113*F~
DTP*291*RD8*20260724-20261022~
EQ*42~
EQ*30~
SE*14*000000159~
GE*1*159~
IEA*1*000000159~

