ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260727*0938*^*00501*000000161*0*P*>~
GS*HS*ABILITY837*ABILITY837*260727*0938*1184225021*X*005010X279A1~
ST*270*000000161*005010X279A1~
BHT*0022*13*000000161*2607208*0938~
HL*1**20*1~
NM1*PR*2*UHC MEDICARE ADVANTAGE*****PI*87726~
HL*2*1*21*1~
NM1*1P*2*EVERGREEN HOME HEALTH*****XX*1184225021~
HL*3*2*22*0~
NM1*IL*1*HAVLATKA*PHYLLIS****MI*947175928~
DMG*D8*19350611*F~
DTP*291*RD8*20260727-20261025~
EQ*42~
EQ*30~
SE*14*000000161~
GE*1*161~
IEA*1*000000161~