ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251029*1510*^*00501*000034724*0*P*>~
GS*HS*10000*10000*251029*1510*1487113239*X*005010X279A1~
ST*270*000034724*005010X279A1~
BHT*0022*13*000034724*2510302*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*HAGA*BARBARA****MI*7K99T50AW45~
DMG*D8*19490131*F~
DTP*291*RD8*20251029-20260127~
EQ*42~
EQ*30~
SE*14*000034724~
GE*1*34724~
IEA*1*000034724~

