ISA*00*          *00*          *ZZ*               *ZZ*               *251002*1210*^*00501*000033187*0*P*>~
GS*HS***251002*1210*1487113239*X*005010X279A1~
ST*270*000033187*005010X279A1~
BHT*0022*13*000033187*2510275*1210~
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*ZEIGLER*NELLIE****MI*1AX2EY4EA27~
DMG*D8*19300919*F~
DTP*291*RD8*20251002-20251231~
EQ*42~
EQ*30~
SE*14*000033187~
GE*1*33187~
IEA*1*000033187~