ISA*00*          *00*          *ZZ*RP016          *ZZ*RP016          *260615*1006*^*00501*000047704*0*P*>~
GS*HS*RP016*RP016*260615*1006*1487113239*X*005010X279A1~
ST*270*000047704*005010X279A1~
BHT*0022*13*000047704*2606166*1006~
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*SPRINGFIELD*SHIRLEY****MI*AA00002736~
DMG*D8*19401215*F~
DTP*291*RD8*20260615-20260913~
EQ*42~
EQ*30~
SE*14*000047704~
GE*1*47704~
IEA*1*000047704~

