ISA*00*          *00*          *ZZ*824026167      *ZZ*ABILITY837     *260804*1546*^*00501*000000233*0*P*>~
GS*HS*ABILITY837*ABILITY837*260804*1546*1184225021*X*005010X279A1~
ST*270*000000233*005010X279A1~
BHT*0022*13*000000233*2608216*1546~
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*AMATO*LYNN****MI*X3LM68232092~
DMG*D8*19540409*F~
DTP*291*RD8*20260804-20261102~
EQ*42~
EQ*30~
SE*14*000000233~
GE*1*233~
IEA*1*000000233~