ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260727*0846*^*00501*000000160*0*P*>~
GS*HS*ABILITY837*ABILITY837*260727*0846*1184225021*X*005010X279A1~
ST*270*000000160*005010X279A1~
BHT*0022*13*000000160*2607208*0846~
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*WHITE*JAMES****MI*6K59MX9DF57~
DMG*D8*19420808*M~
DTP*291*RD8*20260727-20261025~
EQ*42~
EQ*30~
SE*14*000000160~
GE*1*160~
IEA*1*000000160~