ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250728*1107*^*00501*000029784*0*P*>~
GS*HS*10000*10000*250728*1107*1487113239*X*005010X279A1~
ST*270*000029784*005010X279A1~
BHT*0022*13*000029784*2507209*1107~
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*NDUNGU*JARED****MI*2QW7QR4CD50~
DMG*D8*19471125*M~
DTP*291*RD8*20250728-20251026~
EQ*42~
EQ*30~
SE*14*000029784~
GE*1*29784~
IEA*1*000029784~

