ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251105*1611*^*00501*000035074*0*P*>~
GS*HS*10000*10000*251105*1611*1487113239*X*005010X279A1~
ST*270*000035074*005010X279A1~
BHT*0022*13*000035074*2511309*1611~
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*DAVIS*MICHAEL****MI*1YT7JM9VU58~
DMG*D8*19441112*M~
DTP*291*RD8*20251105-20260203~
EQ*42~
EQ*30~
SE*14*000035074~
GE*1*35074~
IEA*1*000035074~

