ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250725*1407*^*00501*000029717*0*P*>~
GS*HS*10000*10000*250725*1407*1487113239*X*005010X279A1~
ST*270*000029717*005010X279A1~
BHT*0022*13*000029717*2507206*1407~
HL*1**20*1~
NM1*PR*2*MEDICARE PPS*****PI*10000~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*CROSBY*SHEILA****MI*2NH0YY4FT00~
DMG*D8*19500516*F~
DTP*291*RD8*20250725-20251023~
EQ*42~
EQ*30~
SE*14*000029717~
GE*1*29717~
IEA*1*000029717~

