270 Requests Sent:
ISA*00*1234567   *00*          *ZZ*123456789      *ZZ*330897513      *190228*1305*^*00501*000000001*0*P*:~
GS*HS*123456789*330897513*20190228*130505*2*X*005010X279A1~
ST*270*000000003*005010X279A1~
BHT*0022*13*PROVTest600*20190228*1305~
HL*1**20*1~
NM1*PR*2*Medicare - Georgia*****46*330897513~
HL*2*1*21*1~
NM1*FA*2*Regioanl Eye Center*****FI*1164751749~
HL*3*2*22*0~
NM1*IL*1*TRUMP*DON*J***MI*9U88N14TQ29~
DMG*D8*19410422*M~
DTP*291*D8*20190302~
EQ*30~
SE*12*000000003~
GE*1*2~
IEA*1*000000001~