ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251120*1011*^*00501*000031215*0*P*>~
GS*HS*10000*10000*251120*1011*1487113239*X*005010X279A1~
ST*270*000031215*005010X279A1~
BHT*0022*13*000031215*2511324*1011~
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*IZAGUIRRE*SONIA****MI*2CP0H87WY10~
DMG*D8*19420725*F~
DTP*291*RD8*20251120-20260218~
EQ*42~
EQ*30~
SE*14*000031215~
GE*1*31215~
IEA*1*000031215~

