ISA*00*          *00*          *ZZ*15004          *ZZ*15004          *250811*1908*^*00501*000030774*0*P*>~
GS*HS*15004*15004*250811*1908*1487113239*X*005010X279A1~
ST*270*000030774*005010X279A1~
BHT*0022*13*000030774*2508223*1908~
HL*1**20*1~
NM1*PR*2*MEDICARE*****PI*10000~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*CURE*PIERRE****MI*3DX1T53XJ24~
DMG*D8*19660425*M~
DTP*291*RD8*20250811-20251109~
EQ*42~
EQ*30~
SE*14*000030774~
GE*1*30774~
IEA*1*000030774~

