ISA*00*          *00*          *ZZ*               *ZZ*               *250926*1609*^*00501*000032917*0*P*>~
GS*HS***250926*1609*1487113239*X*005010X279A1~
ST*270*000032917*005010X279A1~
BHT*0022*13*000032917*2509269*1609~
HL*1**20*1~
NM1*PR*2*SAINT AGNES HOSPITAL*****PI*600082~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*CAVANAUGH*MARGARET****MI*8NF9D64GP54~
DMG*D8*20250419*M~
DTP*291*RD8*20250926-20251225~
EQ*42~
EQ*30~
SE*14*000032917~
GE*1*32917~
IEA*1*000032917~