ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260804*1054*^*00501*000000231*0*P*>~
GS*HS*ABILITY837*ABILITY837*260804*1054*1184225021*X*005010X279A1~
ST*270*000000231*005010X279A1~
BHT*0022*13*000000231*2608216*1054~
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*GODFREY*COLLEEN****MI*80032565400~
DMG*D8*19530608*F~
DTP*291*RD8*20260804-20261102~
EQ*42~
EQ*30~
SE*14*000000231~
GE*1*231~
IEA*1*000000231~