ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251103*1311*^*00501*000034889*0*P*>~
GS*HS*10000*10000*251103*1311*1487113239*X*005010X279A1~
ST*270*000034889*005010X279A1~
BHT*0022*13*000034889*2511307*1311~
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*KIM*KYONG****MI*3XT4GH1QG60~
DMG*D8*19350626*M~
DTP*291*RD8*20251103-20260201~
EQ*42~
EQ*30~
SE*14*000034889~
GE*1*34889~
IEA*1*000034889~