ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260731*0937*^*00501*000000191*0*P*>~
GS*HS*ABILITY837*ABILITY837*260731*0937*1184225021*X*005010X279A1~
ST*270*000000191*005010X279A1~
BHT*0022*13*000000191*2607212*0937~
HL*1**20*1~
NM1*PR*2*PRIORITY MEDICARE ADV*****PI*38217~
HL*2*1*21*1~
NM1*1P*2*EVERGREEN HOME HEALTH*****XX*1184225021~
HL*3*2*22*0~
NM1*IL*1*JOHNSTON*WENDY****MI*80043539100~
DMG*D8*19671020*F~
DTP*291*RD8*20260731-20261029~
EQ*42~
EQ*30~
SE*14*000000191~
GE*1*191~
IEA*1*000000191~