ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260729*1454*^*00501*000000176*0*P*>~
GS*HS*ABILITY837*ABILITY837*260729*1454*1184225021*X*005010X279A1~
ST*270*000000176*005010X279A1~
BHT*0022*13*000000176*2607210*1454~
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*LEAVESLEY*MARIE****MI*1XT2F50QG90~
DMG*D8*19540511*F~
DTP*291*RD8*20260729-20261027~
EQ*42~
EQ*30~
SE*14*000000176~
GE*1*176~
IEA*1*000000176~