ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251028*1510*^*00501*000034646*0*P*>~
GS*HS*10000*10000*251028*1510*1487113239*X*005010X279A1~
ST*270*000034646*005010X279A1~
BHT*0022*13*000034646*2510301*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*ASHBY*CHARLES****MI*7C35EC3YQ54~
DMG*D8*19461223*M~
DTP*291*RD8*20251028-20260126~
EQ*42~
EQ*30~
SE*14*000034646~
GE*1*34646~
IEA*1*000034646~

