ISA*00*          *00*          *ZZ*EMEDNYBAT      *ZZ*ETIN           *110101*0100*^*00501*000000001*0*T*:~GS*HN*EMEDNYBAT*ETIN*20110101*010000*1*X*005010X212~ST*277*000000001*005010X212~BHT*0010*08*701620002 162000002*20110101*010000*DG~HL*1**20*1~NM1*PR*2*NYSDOH*****PI*141797357~HL*2*1*21*1~NM1*41*2*SUBMITTER*****46*ETIN~HL*3*2*19*1~NM1*1P*2*BUSY PROVIDER*****XX*1234567891~HL*4*3*22*0~NM1*IL*1*Patient Last Name*Patient First Name****MI*XX99999X~TRN*2*10060216012300233HSP1156IC002-~STC*F1:3::RX*20101214**524.49*389.73~REF*1K*1026000000099999~REF*EJ*PT12345~REF*D9*20041513010001~REF*XZ*0898779~DTP*472*RD8*20100729-20100729~SVC*N4:10337080301*524.49*389.73****100.00~STC*F1:3*20101214~DTP*472*RD8*20100729-20100729~SE*21*000000001~GE*1*1~IEA*1*000000001~