ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251003*1510*^*00501*000033253*0*P*>~
GS*HS*10000*10000*251003*1510*1487113239*X*005010X279A1~
ST*270*000033253*005010X279A1~
BHT*0022*13*000033253*2510276*1510~
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*DICKENS*EDDIE****MI*1D83WP1JW83~
DMG*D8*19510717*F~
DTP*291*RD8*20251003-20260101~
EQ*42~
EQ*30~
SE*14*000033253~
GE*1*33253~
IEA*1*000033253~

