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GS*HS*RP016*RP016*260604*1506*1487113239*X*005010X279A1~
ST*270*000047134*005010X279A1~
BHT*0022*13*000047134*2606155*1506~
HL*1**20*1~
NM1*PR*2*ALTERWOOD HEALTH - EPISODIC*****PI*RP016~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*MINOR*LOUISE****MI*AA00019540~
DMG*D8*19591023*F~
DTP*291*RD8*20260604-20260902~
EQ*42~
EQ*30~
SE*14*000047134~
GE*1*47134~
IEA*1*000047134~