ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260727*1546*^*00501*000000167*0*P*>~
GS*HS*ABILITY837*ABILITY837*260727*1546*1184225021*X*005010X279A1~
ST*270*000000167*005010X279A1~
BHT*0022*13*000000167*2607208*1546~
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*FERGUSON*SANDRA****MI*H73296235~
DMG*D8*19440112*M~
DTP*291*RD8*20260727-20261025~
EQ*42~
EQ*30~
SE*14*000000167~
GE*1*167~
IEA*1*000000167~