ISA*00* *00* *30*888888888 *ZZ*076011108LMAP *121129*161 7*^*00501*000000044*0*T*:~ GS*BE*888888888*GMASAMPLEGROUP*20121129*1617*44*X*005010X220A1~ ST*834*0098*005010X220A1~ BGN*00*20121129161747*20121129*161700*ET***4~ DTP*007*D8*20070101~ N1*P5*TEST MA FILE*FI*444444444~ N1*IN*ACME HMO*FI*52-0951111~ N1*TV*TEST MA TPA*FI*555555555~ INS*Y*18*030*XN*A*E**FT*N*N~ REF*0F*121212121~ REF*1L*55555~ REF*DX*14~ DTP*336*D8*20060201~ NM1*IL*1*ANONELD*ENRST*J***34*121212121~ PER*IP**TE*7031111558~ N3*46642 ANONSSTREET~ N4*ANYTOWNS*VA*201657397*US~ DMG*D8*19110229*M~ HD*001**HLT**FAM~ DTP*348*D8*20120101~ INS*N*01*030*XN*A*E**FT*N*N~ REF*0F*121212121~ REF*1L*55555~ REF*DX*14~ NM1*IL*1*ANONELD*MRS*C***34*212122121~ N3*46642 ANONSSTREET~ N4*ANYTOWNS*VA*201657397*US~ DMG*D8*19750131*F~ HD*001**HLT~ DTP*348*D8*20120101~ SE*29*0098~ GE*1*44~ IEA*1*000000044~