ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251104*0811*^*00501*000034923*0*P*>~
GS*HS*10000*10000*251104*0811*1487113239*X*005010X279A1~
ST*270*000034923*005010X279A1~
BHT*0022*13*000034923*2511308*0811~
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*DOUCETTE*THOMAS****MI*8EH2UE7MD87~
DMG*D8*19480404*M~
DTP*291*RD8*20251104-20260202~
EQ*42~
EQ*30~
SE*14*000034923~
GE*1*34923~
IEA*1*000034923~

