ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260724*1850*^*00501*000000158*0*P*>~
GS*HS*ABILITY837*ABILITY837*260724*1850*1184225021*X*005010X279A1~
ST*270*000000158*005010X279A1~
BHT*0022*13*000000158*2607205*1850~
HL*1**20*1~
NM1*PR*2*BCBS MEDICARE ADVANTAGE*****PI*00210~
HL*2*1*21*1~
NM1*1P*2*EVERGREEN HOME HEALTH*****XX*1184225021~
HL*3*2*22*0~
NM1*IL*1*BRIGGS*KAREN****MI*X3LM64469671~
DMG*D8*19511221*F~
DTP*291*RD8*20260724-20261022~
EQ*42~
EQ*30~
SE*14*000000158~
GE*1*158~
IEA*1*000000158~