ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251209*1912*^*00501*000034882*0*P*>~
GS*HS*10000*10000*251209*1912*1487113239*X*005010X279A1~
ST*270*000034882*005010X279A1~
BHT*0022*13*000034882*2512343*1912~
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*GOLTSMAN*LEONID****MI*3D41Y73JA13~
DMG*D8*19391103*M~
DTP*291*RD8*20251209-20260309~
EQ*42~
EQ*30~
SE*14*000034882~
GE*1*34882~
IEA*1*000034882~