ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251025*1310*^*00501*000034506*0*P*>~
GS*HS*10000*10000*251025*1310*1487113239*X*005010X279A1~
ST*270*000034506*005010X279A1~
BHT*0022*13*000034506*2510298*1310~
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*CLAY*ANTOINE****MI*5DM0TC1VN90~
DMG*D8*19551023*M~
DTP*291*RD8*20251025-20260123~
EQ*42~
EQ*30~
SE*14*000034506~
GE*1*34506~
IEA*1*000034506~

