ISA|00|          |00|          |ZZ|ZIRMED         |ZZ|947971C9807506 |250820|2216|}|00501|000003410|0|P|^~GS|HP|ZIRMED|947971C9807506|20250820|2216|3410|X|005010X221A1~ST|835|0001~BPR|I|23176.12|C|ACH|CCP|01|031100209|DA|38876542|1520954463||01|055002338|DA|93128821|20250820~TRN|1|000001850758401|1520954463~DTM|405|20250820~N1|PR|KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES~N3|PO BOX 64533~N4|BALTIMORE|MD|21264~PER|CX|EDICLAIMSNCSO|TE|8008132000|EM|EDICLAIMSNCSO@KP.ORG~PER|BL|NEBO|EM|NEHBO@KP.ORG~N1|PE|HOMECENTRIS HOME HEALTH II LLC|XX|1487113239~N3|10 CROSSROADS DR STE 110~N4|OWINGS MILLS|MD|211175464~REF|TJ|833992125~LX|1~CLP|1150-250813114121|1|4200.01|1246.8||MA|172288352|32|9~NM1|QC|1|FRIEDEL|LAVERNE||||MI|91101023~NM1|74|1|||M~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|91101023~REF|G1|1719884029~DTM|232|20250718~DTM|233|20250804~DTM|050|20250814~AMT|AU|4200.01~SVC|HC^3JA21|0|1246.8|0023~DTM|472|20250718~CAS|CO|45|-1272.24||253|25.44~REF|6R|10397349175Z1~AMT|B6|1272.24~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250718~CAS|CO|45|.01~REF|6R|10397349175Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250718~CAS|CO|45|700~REF|6R|10397349175Z3~SVC|HC^G0299|700|0|0551|0~DTM|472|20250725~CAS|CO|45|700~REF|6R|10397349175Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20250729~CAS|CO|45|700~REF|6R|10397349175Z5~SVC|HC^G0152|700|0|0431|0~DTM|472|20250731~CAS|CO|45|700~REF|6R|10397349175Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20250731~CAS|CO|45|700~REF|6R|10397349175Z7~SVC|HC^G0299|700|0|0551|0~DTM|472|20250804~CAS|CO|45|700~REF|6R|10397349175Z8~CLP|1150-250813132413|1|700|133||MA|172288339|32|3~NM1|QC|1|ZEMANSKI|DARLENE||||MI|291018970~NM1|74|1|||R~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|291018970~REF|G1|1719927711~DTM|232|20250707~DTM|233|20250707~DTM|050|20250814~AMT|AU|700~SVC|NU^0429|700|133~DTM|472|20250707~CAS|CO|45|567~REF|6R|10397152226Z1~AMT|B6|133~CLP|1150-250813135139|1|700|133||MA|172288349|32|3~NM1|QC|1|RITTMEYER|STEVEN||||MI|291286148~NM1|74|1|||L~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|291286148~REF|G1|1719947043~DTM|232|20250711~DTM|233|20250711~DTM|050|20250814~AMT|AU|700~SVC|NU^0429|700|133~DTM|472|20250711~CAS|CO|45|567~REF|6R|10397249563Z1~AMT|B6|133~CLP|1150-250813162609|1|4900.01|2546.2||MA|172288365|32|9~NM1|QC|1|RITTMEYER|STEVEN||||MI|291286148~NM1|74|1|||L~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|291286148~REF|G1|1719947033~DTM|232|20250724~DTM|233|20250801~DTM|050|20250814~AMT|AU|4900.01~SVC|HC^1EC21|0|2546.2|0023~DTM|472|20250724~CAS|CO|45|-2598.16||253|51.96~REF|6R|10397937995Z1~AMT|B6|2598.16~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250724~CAS|CO|45|.01~REF|6R|10397937995Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250724~CAS|CO|45|700~REF|6R|10397937995Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20250725~CAS|CO|45|700~REF|6R|10397937995Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20250726~CAS|CO|45|700~REF|6R|10397937995Z5~SVC|HC^G0151|700|0|0421|0~DTM|472|20250728~CAS|CO|45|700~REF|6R|10397937995Z6~SVC|HC^G0151|700|0|0421|0~DTM|472|20250730~CAS|CO|45|700~REF|6R|10397937995Z7~SVC|HC^G0299|700|0|0551|0~DTM|472|20250731~CAS|CO|45|700~REF|6R|10397937995Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20250801~CAS|CO|45|700~REF|6R|10397937995Z9~CLP|1150-250811125824|1|1400|335.78||HM|172168966|32|1~NM1|QC|1|JONES|ZELDA||||MI|311038559~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|311038559~REF|G1|1719965901~DTM|232|20250710~DTM|233|20250714~DTM|050|20250812~AMT|AU|1400~SVC|HC^G0151|700|167.89|0421~DTM|472|20250710~CAS|CO|45|532.11~REF|6R|10383219073Z1~AMT|B6|167.89~SVC|HC^G0151|700|167.89|0421~DTM|472|20250714~CAS|CO|45|532.11~REF|6R|10383219073Z2~AMT|B6|167.89~CLP|1150-250811165137|1|5600|1072||HM|172168428|32|1~NM1|QC|1|SNAPE|BRITTANY||||MI|471095175~NM1|74|1|||T~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|471095175~REF|G1|1719935554~DTM|232|20250717~DTM|233|20250730~DTM|050|20250812~AMT|AU|5600~SVC|HC^G0299|700|119|0551~DTM|472|20250717~CAS|CO|45|581~REF|6R|10384292298Z1~AMT|B6|119~SVC|HC^G0151|700|139|0421~DTM|472|20250717~CAS|CO|45|561~REF|6R|10384292298Z2~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250722~CAS|CO|45|561~REF|6R|10384292298Z3~AMT|B6|139~SVC|HC^G0299|700|119|0551~DTM|472|20250723~CAS|CO|45|581~REF|6R|10384292298Z4~AMT|B6|119~SVC|HC^G0157|700|139|0421~DTM|472|20250723~CAS|CO|45|561~REF|6R|10384292298Z5~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250725~CAS|CO|45|561~REF|6R|10384292298Z6~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250729~CAS|CO|45|561~REF|6R|10384292298Z7~AMT|B6|139~SVC|HC^G0151|700|139|0421~DTM|472|20250730~CAS|CO|45|561~REF|6R|10384292298Z8~AMT|B6|139~CLP|1150-250811163005|1|5600|1072||HM|172168427|32|1~NM1|QC|1|REKUS|MARY||||MI|691028281~NM1|74|1|||T~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|691028281~REF|G1|1719927624~DTM|232|20250715~DTM|233|20250731~DTM|050|20250812~AMT|AU|5600~SVC|HC^G0299|700|119|0551~DTM|472|20250715~CAS|CO|45|581~REF|6R|10384205530Z1~AMT|B6|119~SVC|HC^G0151|700|139|0421~DTM|472|20250715~CAS|CO|45|561~REF|6R|10384205530Z2~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250721~CAS|CO|45|561~REF|6R|10384205530Z3~AMT|B6|139~SVC|HC^G0299|700|119|0551~DTM|472|20250721~CAS|CO|45|581~REF|6R|10384205530Z4~AMT|B6|119~SVC|HC^G0157|700|139|0421~DTM|472|20250723~CAS|CO|45|561~REF|6R|10384205530Z5~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250725~CAS|CO|45|561~REF|6R|10384205530Z6~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250728~CAS|CO|45|561~REF|6R|10384205530Z7~AMT|B6|139~SVC|HC^G0151|700|139|0421~DTM|472|20250731~CAS|CO|45|561~REF|6R|10384205530Z8~AMT|B6|139~CLP|1150-250813142938|1|10500.01|1998.32||MA|172288353|32|9~NM1|QC|1|GILLAN|ZITTA||||MI|931073655~NM1|74|1|||K~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|931073655~REF|G1|1719941054~DTM|232|20250707~DTM|233|20250805~DTM|050|20250814~AMT|AU|10500.01~SVC|HC^1HA21|0|1998.32|0023~DTM|472|20250707~CAS|CO|45|-2039.1||253|40.78~REF|6R|10397392794Z1~AMT|B6|2039.1~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250707~CAS|CO|45|.01~REF|6R|10397392794Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250707~CAS|CO|45|700~REF|6R|10397392794Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20250708~CAS|CO|45|700~REF|6R|10397392794Z4~SVC|HC^G0152|700|0|0431|0~DTM|472|20250709~CAS|CO|45|700~REF|6R|10397392794Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20250711~CAS|CO|45|700~REF|6R|10397392794Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20250714~CAS|CO|45|700~REF|6R|10397392794Z7~SVC|HC^G0299|700|0|0551|0~DTM|472|20250716~CAS|CO|45|700~REF|6R|10397392794Z8~SVC|HC^G0152|700|0|0431|0~DTM|472|20250716~CAS|CO|45|700~REF|6R|10397392794Z9~SVC|HC^G0157|700|0|0421|0~DTM|472|20250717~CAS|CO|45|700~REF|6R|10397392794Z10~SVC|HC^G0299|700|0|0551|0~DTM|472|20250721~CAS|CO|45|700~REF|6R|10397392794Z11~SVC|HC^G0152|700|0|0431|0~DTM|472|20250723~CAS|CO|45|700~REF|6R|10397392794Z12~SVC|HC^G0157|700|0|0421|0~DTM|472|20250724~CAS|CO|45|700~REF|6R|10397392794Z13~SVC|HC^G0299|700|0|0551|0~DTM|472|20250728~CAS|CO|45|700~REF|6R|10397392794Z14~SVC|HC^G0157|700|0|0421|0~DTM|472|20250729~CAS|CO|45|700~REF|6R|10397392794Z15~SVC|HC^G0152|700|0|0431|0~DTM|472|20250730~CAS|CO|45|700~REF|6R|10397392794Z16~SVC|HC^G0157|700|0|0421|0~DTM|472|20250805~CAS|CO|45|700~REF|6R|10397392794Z17~CLP|1150-250811130431|1|5600|1072||HM|172168424|32|1~NM1|QC|1|BIBI|ZARINA||||MI|79229842~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|79229842~REF|G1|1719947211~DTM|232|20250719~DTM|233|20250801~DTM|050|20250812~AMT|AU|5600~SVC|HC^G0299|700|119|0551~DTM|472|20250719~CAS|CO|45|581~REF|6R|10383273015Z1~AMT|B6|119~SVC|HC^G0151|700|139|0421~DTM|472|20250721~CAS|CO|45|561~REF|6R|10383273015Z2~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250723~CAS|CO|45|561~REF|6R|10383273015Z3~AMT|B6|139~SVC|HC^G0299|700|119|0551~DTM|472|20250724~CAS|CO|45|581~REF|6R|10383273015Z4~AMT|B6|119~SVC|HC^G0157|700|139|0421~DTM|472|20250725~CAS|CO|45|561~REF|6R|10383273015Z5~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250728~CAS|CO|45|561~REF|6R|10383273015Z6~AMT|B6|139~SVC|HC^G0157|700|139|0421~DTM|472|20250731~CAS|CO|45|561~REF|6R|10383273015Z7~AMT|B6|139~SVC|HC^G0151|700|139|0421~DTM|472|20250801~CAS|CO|45|561~REF|6R|10383273015Z8~AMT|B6|139~CLP|1150-250813113558|1|11900.01|1962.16||MA|172288333|32|9~NM1|QC|1|DOBBINS|DENISE||||MI|14256281~NM1|74|1|||A~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|14256281~REF|G1|1719952810~DTM|232|20250710~DTM|233|20250807~DTM|050|20250814~AMT|AU|11900.01~SVC|HC^1JA21|0|1962.16|0023~DTM|472|20250710~CAS|CO|45|-2002.2||253|40.04~REF|6R|10396728521Z1~AMT|B6|2002.2~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250710~CAS|CO|45|.01~REF|6R|10396728521Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250710~CAS|CO|45|700~REF|6R|10396728521Z3~SVC|HC^G0152|700|0|0431|0~DTM|472|20250710~CAS|CO|45|700~REF|6R|10396728521Z4~SVC|HC^G0299|700|0|0551|0~DTM|472|20250714~CAS|CO|45|700~REF|6R|10396728521Z5~SVC|HC^G0151|700|0|0421|0~DTM|472|20250716~CAS|CO|45|700~REF|6R|10396728521Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20250717~CAS|CO|45|700~REF|6R|10396728521Z7~SVC|HC^G0152|700|0|0431|0~DTM|472|20250718~CAS|CO|45|700~REF|6R|10396728521Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20250721~CAS|CO|45|700~REF|6R|10396728521Z9~SVC|HC^G0299|700|0|0551|0~DTM|472|20250722~CAS|CO|45|700~REF|6R|10396728521Z10~SVC|HC^G0151|700|0|0421|0~DTM|472|20250724~CAS|CO|45|700~REF|6R|10396728521Z11~SVC|HC^G0299|700|0|0551|0~DTM|472|20250725~CAS|CO|45|700~REF|6R|10396728521Z12~SVC|HC^G0152|700|0|0431|0~DTM|472|20250725~CAS|CO|45|700~REF|6R|10396728521Z13~SVC|HC^G0151|700|0|0421|0~DTM|472|20250728~CAS|CO|45|700~REF|6R|10396728521Z14~SVC|HC^G0151|700|0|0421|0~DTM|472|20250730~CAS|CO|45|700~REF|6R|10396728521Z15~SVC|HC^G0299|700|0|0551|0~DTM|472|20250801~CAS|CO|45|700~REF|6R|10396728521Z16~SVC|HC^G0152|700|0|0431|0~DTM|472|20250801~CAS|CO|45|700~REF|6R|10396728521Z17~SVC|HC^G0151|700|0|0421|0~DTM|472|20250805~CAS|CO|45|700~REF|6R|10396728521Z18~SVC|HC^G0151|700|0|0421|0~DTM|472|20250807~CAS|CO|45|700~REF|6R|10396728521Z19~CLP|1150-250813133227|1|700|133||MA|172288342|32|3~NM1|QC|1|MECKE|PETER||||MI|43286176~NM1|74|1|||H~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|43286176~REF|G1|1719927548~DTM|232|20250708~DTM|233|20250708~DTM|050|20250814~AMT|AU|700~SVC|NU^0429|700|133~DTM|472|20250708~CAS|CO|45|567~REF|6R|10397181464Z1~AMT|B6|133~CLP|1150-250813145519|1|4200.01|2176.08||MA|172288360|32|9~NM1|QC|1|HEWETT|NANCY||||MI|14134248~NM1|74|1|||L~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|14134248~REF|G1|1719962431~DTM|232|20250709~DTM|233|20250731~DTM|050|20250814~AMT|AU|4200.01~SVC|HC^1HB21|0|2176.08|0023~DTM|472|20250709~CAS|CO|45|-2220.49||253|44.41~REF|6R|10397490396Z1~AMT|B6|2220.49~SVC|HC^Q5001|.01|0|0421|0~DTM|472|20250709~CAS|CO|45|.01~REF|6R|10397490396Z2~SVC|HC^G0151|700|0|0421|0~DTM|472|20250709~CAS|CO|45|700~REF|6R|10397490396Z3~SVC|HC^G0157|700|0|0421|0~DTM|472|20250715~CAS|CO|45|700~REF|6R|10397490396Z4~SVC|HC^G0157|700|0|0421|0~DTM|472|20250717~CAS|CO|45|700~REF|6R|10397490396Z5~SVC|HC^G0157|700|0|0421|0~DTM|472|20250725~CAS|CO|45|700~REF|6R|10397490396Z6~SVC|HC^G0157|700|0|0421|0~DTM|472|20250730~CAS|CO|45|700~REF|6R|10397490396Z7~SVC|HC^G0157|700|0|0421|0~DTM|472|20250731~CAS|CO|45|700~REF|6R|10397490396Z8~CLP|1150-250813113924|1|1400.01|469.3||MA|172288337|32|9~NM1|QC|1|FISCHER|FREDERICK||||MI|76164347~NM1|74|1|FISCHER JR||V~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|76164347~REF|G1|1720012434~DTM|232|20250726~DTM|233|20250801~DTM|050|20250814~AMT|AU|1400.01~SVC|HC^1CC21|0|469.3|0023~DTM|472|20250726~CAS|CO|45|-478.88||253|9.58~REF|6R|10396762516Z1~AMT|B6|478.88~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250726~CAS|CO|45|.01~REF|6R|10396762516Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250726~CAS|CO|45|700~REF|6R|10396762516Z3~SVC|HC^G0299|700|0|0551|0~DTM|472|20250801~CAS|CO|45|700~REF|6R|10396762516Z4~CLP|1150-250813161955|1|9100.01|1998.32||MA|172288362|32|9~NM1|QC|1|THOMPSON|CLARICE||||MI|65172437~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|65172437~REF|G1|1719969878~DTM|232|20250710~DTM|233|20250805~DTM|050|20250814~AMT|AU|9100.01~SVC|HC^1HA21|0|1998.32|0023~DTM|472|20250710~CAS|CO|45|-2039.1||253|40.78~REF|6R|10397905798Z1~AMT|B6|2039.1~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250710~CAS|CO|45|.01~REF|6R|10397905798Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250710~CAS|CO|45|700~REF|6R|10397905798Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20250714~CAS|CO|45|700~REF|6R|10397905798Z4~SVC|HC^G0152|700|0|0431|0~DTM|472|20250714~CAS|CO|45|700~REF|6R|10397905798Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20250714~CAS|CO|45|700~REF|6R|10397905798Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20250717~CAS|CO|45|700~REF|6R|10397905798Z7~SVC|HC^G0152|700|0|0431|0~DTM|472|20250721~CAS|CO|45|700~REF|6R|10397905798Z8~SVC|HC^G0299|700|0|0551|0~DTM|472|20250722~CAS|CO|45|700~REF|6R|10397905798Z9~SVC|HC^G0299|700|0|0551|0~DTM|472|20250724~CAS|CO|45|700~REF|6R|10397905798Z10~SVC|HC^G0152|700|0|0431|0~DTM|472|20250728~CAS|CO|45|700~REF|6R|10397905798Z11~SVC|HC^G0299|700|0|0551|0~DTM|472|20250729~CAS|CO|45|700~REF|6R|10397905798Z12~SVC|HC^G0299|700|0|0551|0~DTM|472|20250731~CAS|CO|45|700~REF|6R|10397905798Z13~SVC|HC^G0152|700|0|0431|0~DTM|472|20250804~CAS|CO|45|700~REF|6R|10397905798Z14~SVC|HC^G0299|700|0|0551|0~DTM|472|20250805~CAS|CO|45|700~REF|6R|10397905798Z15~CLP|1150-250813133912|1|700|133||MA|172288345|32|3~NM1|QC|1|LUMSDEN|KATHLEEN||||MI|82179302~NM1|74|1|||S~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|82179302~REF|G1|1719947020~DTM|232|20250709~DTM|233|20250709~DTM|050|20250814~AMT|AU|700~SVC|NU^0429|700|133~DTM|472|20250709~CAS|CO|45|567~REF|6R|10397204542Z1~AMT|B6|133~CLP|1150-250813144718|1|5600.01|2565.72||MA|172288356|32|9~NM1|QC|1|LUMSDEN|KATHLEEN||||MI|82179302~NM1|74|1|||S~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|82179302~REF|G1|1719947001~DTM|232|20250719~DTM|233|20250801~DTM|050|20250814~AMT|AU|5600.01~SVC|HC^1EB31|0|2565.72|0023~DTM|472|20250719~CAS|CO|45|-2618.08||253|52.36~REF|6R|10397473707Z1~AMT|B6|2618.08~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250719~CAS|CO|45|.01~REF|6R|10397473707Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250719~CAS|CO|45|700~REF|6R|10397473707Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20250721~CAS|CO|45|700~REF|6R|10397473707Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20250723~CAS|CO|45|700~REF|6R|10397473707Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20250724~CAS|CO|45|700~REF|6R|10397473707Z6~SVC|HC^G0151|700|0|0421|0~DTM|472|20250725~CAS|CO|45|700~REF|6R|10397473707Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20250728~CAS|CO|45|700~REF|6R|10397473707Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20250730~CAS|CO|45|700~REF|6R|10397473707Z9~SVC|HC^G0151|700|0|0421|0~DTM|472|20250801~CAS|CO|45|700~REF|6R|10397473707Z10~CLP|1150-250813134400|1|700|133||MA|172288346|32|3~NM1|QC|1|ODEA|JOHN||||MI|45186153~NM1|74|1|||F~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|45186153~REF|G1|1719947179~DTM|232|20250711~DTM|233|20250711~DTM|050|20250814~AMT|AU|700~SVC|NU^0429|700|133~DTM|472|20250711~CAS|CO|45|567~REF|6R|10397219062Z1~AMT|B6|133~CLP|1150-250813143824|1|2100.01|1282.76||MA|172288357|32|9~NM1|QC|1|KEATING|JOSCELYN||||MI|19194407~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|19194407~REF|G1|1719874610~DTM|232|20250709~DTM|233|20250729~DTM|050|20250814~AMT|AU|2100.01~SVC|HC^3HA21|0|1282.76|0023~DTM|472|20250709~CAS|CO|45|-1308.94||253|26.18~REF|6R|10397420430Z1~AMT|B6|1308.94~SVC|HC^Q5001|.01|0|0421|0~DTM|472|20250709~CAS|CO|45|.01~REF|6R|10397420430Z2~SVC|HC^G0151|700|0|0421|0~DTM|472|20250709~CAS|CO|45|700~REF|6R|10397420430Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20250715~CAS|CO|45|700~REF|6R|10397420430Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20250729~CAS|CO|45|700~REF|6R|10397420430Z5~CLP|1150-250813112721|1|4900.01|2713.68||MA|172288332|32|9~NM1|QC|1|BARNES|IDA||||MI|51197387~NM1|74|1|||R~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|51197387~REF|G1|1719962246~DTM|232|20250710~DTM|233|20250805~DTM|050|20250814~AMT|AU|4900.01~SVC|HC^1IB21|0|2713.68|0023~DTM|472|20250710~CAS|CO|45|-2769.06||253|55.38~REF|6R|10396712431Z1~AMT|B6|2769.06~SVC|HC^Q5001|.01|0|0421|0~DTM|472|20250710~CAS|CO|45|.01~REF|6R|10396712431Z2~SVC|HC^G0151|700|0|0421|0~DTM|472|20250710~CAS|CO|45|700~REF|6R|10396712431Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20250715~CAS|CO|45|700~REF|6R|10396712431Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20250717~CAS|CO|45|700~REF|6R|10396712431Z5~SVC|HC^G0151|700|0|0421|0~DTM|472|20250722~CAS|CO|45|700~REF|6R|10396712431Z6~SVC|HC^G0151|700|0|0421|0~DTM|472|20250724~CAS|CO|45|700~REF|6R|10396712431Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20250729~CAS|CO|45|700~REF|6R|10396712431Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20250805~CAS|CO|45|700~REF|6R|10396712431Z9~SE|782|0001~GE|1|3410~IEA|1|000003410~