ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260731*1423*^*00501*000000220*0*P*>~
GS*HS*ABILITY837*ABILITY837*260731*1423*1184225021*X*005010X279A1~
ST*270*000000220*005010X279A1~
BHT*0022*13*000000220*2607212*1423~
HL*1**20*1~
NM1*PR*2*BCBS TANGO MA*****PI*26748~
HL*2*1*21*1~
NM1*1P*2*EVERGREEN HOME HEALTH*****XX*1184225021~
HL*3*2*22*0~
NM1*IL*1*DUNCKLEY*BRIAN****MI*X3LM68825939~
DMG*D8*19531005*M~
DTP*291*RD8*20260731-20261029~
EQ*42~
EQ*30~
SE*14*000000220~
GE*1*220~
IEA*1*000000220~