ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251007*1410*^*00501*000004347*0*P*>~
GS*HS*10000*10000*251007*1410*1487113239*X*005010X279A1~
ST*270*000004347*005010X279A1~
BHT*0022*13*000004347*2510280*1410~
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*BEREZINSKAYA*ASYA****MI*4UN2N64JE82~
DMG*D8*19290815*F~
DTP*291*RD8*20251007-20260105~
EQ*42~
EQ*30~
SE*14*000004347~
GE*1*4347~
IEA*1*000004347~

