ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260724*1847*^*00501*000000157*0*P*>~
GS*HS*ABILITY837*ABILITY837*260724*1847*1184225021*X*005010X279A1~
ST*270*000000157*005010X279A1~
BHT*0022*13*000000157*2607205*1847~
HL*1**20*1~
NM1*PR*2*NGS MEDICARE*****PI*06001~
HL*2*1*21*1~
NM1*1P*2*EVERGREEN HOME HEALTH*****XX*1184225021~
HL*3*2*22*0~
NM1*IL*1*DECARLO*DALE****MI*3DX4HK2HH92~
DMG*D8*19560118*M~
DTP*291*RD8*20260724-20261022~
EQ*42~
EQ*30~
SE*14*000000157~
GE*1*157~
IEA*1*000000157~