ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250904*1209*^*00501*000031732*0*P*>~
GS*HS*10000*10000*250904*1209*1487113239*X*005010X279A1~
ST*270*000031732*005010X279A1~
BHT*0022*13*000031732*2509247*1209~
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*ROBEY*ROBERT****MI*8AC4GW8MX90~
DMG*D8*19420604*M~
DTP*291*RD8*20250904-20251203~
EQ*42~
EQ*30~
SE*14*000031732~
GE*1*31732~
IEA*1*000031732~

