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GS*HS*RP016*RP016*250903*1309*1487113239*X*005010X279A1~
ST*270*000001832*005010X279A1~
BHT*0022*13*000001832*2509246*1309~
HL*1**20*1~
NM1*PR*2*ALTERWOOD HEALTH - EPISODIC*****PI*RP016~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*JONES*VERNON****MI*AA00013345~
DMG*D8*19551115*M~
DTP*291*RD8*20250903-20251202~
EQ*42~
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SE*14*000001832~
GE*1*1832~
IEA*1*000001832~