ISA|00|          |00|          |ZZ|ZIRMED         |ZZ|947971C9807506 |251117|2214|}|00501|000003459|0|P|^~GS|HP|ZIRMED|947971C9807506|20251117|2214|3459|X|005010X221A1~ST|835|0001~BPR|I|34111.43|C|ACH|CCP|01|031100209|DA|38876542|1520954463||01|055002338|DA|93128821|20251117~TRN|1|000001850788178|1520954463~DTM|405|20251117~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|1150-251110173321|1|9800.01|2016||MA|178001786|32|9~NM1|QC|1|SHRESTHA|ACHYUT||||MI|11106275~NM1|74|1|||C~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|11106275~REF|G1|1720217128~DTM|232|20251009~DTM|233|20251105~DTM|050|20251111~AMT|AU|9800.01~SVC|HC^1AA21|0|2016|0023~DTM|472|20251009~CAS|CO|45|-2057.14||253|41.14~REF|6R|10898548779Z1~AMT|B6|2057.14~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251009~CAS|CO|45|.01~REF|6R|10898548779Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251009~CAS|CO|45|700~REF|6R|10898548779Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251013~CAS|CO|45|700~REF|6R|10898548779Z4~SVC|HC^G0152|700|0|0431|0~DTM|472|20251014~CAS|CO|45|700~REF|6R|10898548779Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20251015~CAS|CO|45|700~REF|6R|10898548779Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20251017~CAS|CO|45|700~REF|6R|10898548779Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20251020~CAS|CO|45|700~REF|6R|10898548779Z8~SVC|HC^G0299|700|0|0551|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10898548779Z9~SVC|HC^G0152|700|0|0431|0~DTM|472|20251022~CAS|CO|45|700~REF|6R|10898548779Z10~SVC|HC^G0299|700|0|0551|0~DTM|472|20251023~CAS|CO|45|700~REF|6R|10898548779Z11~SVC|HC^G0151|700|0|0421|0~DTM|472|20251029~CAS|CO|45|700~REF|6R|10898548779Z12~SVC|HC^G0152|700|0|0431|0~DTM|472|20251029~CAS|CO|45|700~REF|6R|10898548779Z13~SVC|HC^G0299|700|0|0551|0~DTM|472|20251030~CAS|CO|45|700~REF|6R|10898548779Z14~SVC|HC^G0152|700|0|0431|0~DTM|472|20251103~CAS|CO|45|700~REF|6R|10898548779Z15~SVC|HC^G0151|700|0|0421|0~DTM|472|20251105~CAS|CO|45|700~REF|6R|10898548779Z16~CLP|1150-251110145036|1|6300.01|3205.87||MA|178001767|32|9~NM1|QC|1|KEARNEY|PATRICIA||||MI|231282836~NM1|74|1|||B~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|231282836~REF|G1|1720169780~DTM|232|20250920~DTM|233|20251016~DTM|050|20251111~AMT|AU|6300.01~SVC|HC^1CC21|0|3205.87|0023~DTM|472|20250920~CAS|CO|45|-3271.3||253|65.43~REF|6R|10897807863Z1~AMT|B6|3271.3~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20250920~CAS|CO|45|.01~REF|6R|10897807863Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20250920~CAS|CO|45|700~REF|6R|10897807863Z3~SVC|HC^G0299|700|0|0551|0~DTM|472|20250922~CAS|CO|45|700~REF|6R|10897807863Z4~SVC|HC^G0299|700|0|0551|0~DTM|472|20251003~CAS|CO|45|700~REF|6R|10897807863Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20251008~CAS|CO|45|700~REF|6R|10897807863Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20251010~CAS|CO|45|700~REF|6R|10897807863Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20251010~CAS|CO|45|700~REF|6R|10897807863Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20251013~CAS|CO|45|700~REF|6R|10897807863Z9~SVC|HC^G0151|700|0|0421|0~DTM|472|20251015~CAS|CO|45|700~REF|6R|10897807863Z10~SVC|HC^G0299|700|0|0551|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10897807863Z11~CLP|1150-251110172440|1|4900.01|2656.97||MA|178001781|32|9~NM1|QC|1|PERRY|THOMAS||||MI|441281282~NM1|74|1|||E~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|441281282~REF|G1|1720181792~DTM|232|20250929~DTM|233|20251028~DTM|050|20251111~AMT|AU|4900.01~SVC|HC^1BC11|0|2656.97|0023~DTM|472|20250929~CAS|CO|45|-2711.19||253|54.22~REF|6R|10898511124Z1~AMT|B6|2711.19~LQ|HE|N669~SVC|HC^Q5001|.01|0|0421|0~DTM|472|20250929~CAS|CO|45|.01~REF|6R|10898511124Z2~SVC|HC^G0151|700|0|0421|0~DTM|472|20250929~CAS|CO|45|700~REF|6R|10898511124Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251007~CAS|CO|45|700~REF|6R|10898511124Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251009~CAS|CO|45|700~REF|6R|10898511124Z5~SVC|HC^G0151|700|0|0421|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10898511124Z6~SVC|HC^G0151|700|0|0421|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10898511124Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20251023~CAS|CO|45|700~REF|6R|10898511124Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20251028~CAS|CO|45|700~REF|6R|10898511124Z9~CLP|1150-251110171941|1|4200.01|1245.78||MA|178001778|32|9~NM1|QC|1|NOONAN|RANDY||||MI|611287921~NM1|74|1|||P~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|611287921~REF|G1|1720163434~DTM|232|20251021~DTM|233|20251104~DTM|050|20251111~AMT|AU|4200.01~SVC|HC^3GA21|0|1245.78|0023~DTM|472|20251021~CAS|CO|45|-1271.2||253|25.42~REF|6R|10898496245Z1~AMT|B6|1271.2~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251021~CAS|CO|45|.01~REF|6R|10898496245Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10898496245Z3~SVC|HC^G0157|700|0|0421|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10898496245Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251024~CAS|CO|45|700~REF|6R|10898496245Z5~SVC|HC^G0157|700|0|0421|0~DTM|472|20251028~CAS|CO|45|700~REF|6R|10898496245Z6~SVC|HC^G0152|700|0|0431|0~DTM|472|20251030~CAS|CO|45|700~REF|6R|10898496245Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20251104~CAS|CO|45|700~REF|6R|10898496245Z8~CLP|1150-251110151316|1|5600.01|2088.96||MA|178001775|32|9~NM1|QC|1|MCGOUGAN|DENNIS||||MI|01231555~NM1|74|1|MCGOUGAN SR||L~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|01231555~REF|G1|1720223903~DTM|232|20251027~DTM|233|20251106~DTM|050|20251111~AMT|AU|5600.01~SVC|HC^1EA21|0|2088.96|0023~DTM|472|20251027~CAS|CO|45|-2131.59||253|42.63~REF|6R|10897948459Z1~AMT|B6|2131.59~LQ|HE|N669~SVC|HC^Q5001|.01|0|0421|0~DTM|472|20251027~CAS|CO|45|.01~REF|6R|10897948459Z2~SVC|HC^G0151|700|0|0421|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10897948459Z3~SVC|HC^G0299|700|0|0551|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10897948459Z4~SVC|HC^G0157|700|0|0421|0~DTM|472|20251029~CAS|CO|45|700~REF|6R|10897948459Z5~SVC|HC^G0157|700|0|0421|0~DTM|472|20251031~CAS|CO|45|700~REF|6R|10897948459Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20251031~CAS|CO|45|700~REF|6R|10897948459Z7~SVC|HC^G0157|700|0|0421|0~DTM|472|20251103~CAS|CO|45|700~REF|6R|10897948459Z8~SVC|HC^G0157|700|0|0421|0~DTM|472|20251105~CAS|CO|45|700~REF|6R|10897948459Z9~SVC|HC^G0151|700|0|0421|0~DTM|472|20251106~CAS|CO|45|700~REF|6R|10897948459Z10~CLP|1150-251110144002|1|5600.01|2546.2||MA|178001763|32|9~NM1|QC|1|HOWELL|THOMAS||||MI|24230962~NM1|74|1|||M~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|24230962~REF|G1|1720181743~DTM|232|20251016~DTM|233|20251027~DTM|050|20251111~AMT|AU|5600.01~SVC|HC^1EC21|0|2546.2|0023~DTM|472|20251016~CAS|CO|45|-2598.16||253|51.96~REF|6R|10897753077Z1~AMT|B6|2598.16~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251016~CAS|CO|45|.01~REF|6R|10897753077Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10897753077Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10897753077Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251017~CAS|CO|45|700~REF|6R|10897753077Z5~SVC|HC^G0151|700|0|0421|0~DTM|472|20251020~CAS|CO|45|700~REF|6R|10897753077Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10897753077Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20251022~CAS|CO|45|700~REF|6R|10897753077Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20251024~CAS|CO|45|700~REF|6R|10897753077Z9~SVC|HC^G0151|700|0|0421|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10897753077Z10~CLP|1150-251110174538|1|3500.01|1300.42||MA|178001788|32|9~NM1|QC|1|WALKER|CHARLES||||MI|23238139~NM1|74|1|||E~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|23238139~REF|G1|1720033787~DTM|232|20251016~DTM|233|20251027~DTM|050|20251111~AMT|AU|3500.01~SVC|HC^3AA21|0|1300.42|0023~DTM|472|20251016~CAS|CO|45|-1326.96||253|26.54~REF|6R|10898616623Z1~AMT|B6|1326.96~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251016~CAS|CO|45|.01~REF|6R|10898616623Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10898616623Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10898616623Z4~SVC|HC^G0299|700|0|0551|0~DTM|472|20251020~CAS|CO|45|700~REF|6R|10898616623Z5~SVC|HC^G0151|700|0|0421|0~DTM|472|20251023~CAS|CO|45|700~REF|6R|10898616623Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10898616623Z7~CLP|1150-251110141833|1|2800.01|1300.42||MA|178001758|32|9~NM1|QC|1|FRAZIER|DOLLIE||||MI|24309055~NM1|74|1|||L~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|24309055~REF|G1|1720161169~DTM|232|20251020~DTM|233|20251030~DTM|050|20251111~AMT|AU|2800.01~SVC|HC^3LA21|0|1300.42|0023~DTM|472|20251020~CAS|CO|45|-1326.96||253|26.54~REF|6R|10897647275Z1~AMT|B6|1326.96~LQ|HE|N669~SVC|HC^Q5001|.01|0|0421|0~DTM|472|20251020~CAS|CO|45|.01~REF|6R|10897647275Z2~SVC|HC^G0157|700|0|0421|0~DTM|472|20251020~CAS|CO|45|700~REF|6R|10897647275Z3~SVC|HC^G0152|700|0|0431|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10897647275Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251028~CAS|CO|45|700~REF|6R|10897647275Z5~SVC|HC^G0152|700|0|0431|0~DTM|472|20251030~CAS|CO|45|700~REF|6R|10897647275Z6~CLP|1150-251110145658|1|9100.01|2574.56||MA|178001770|32|9~NM1|QC|1|MARTEL|MICHAEL||||MI|47311041~NM1|74|1|||W~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|47311041~REF|G1|1720212427~DTM|232|20251007~DTM|233|20251104~DTM|050|20251111~AMT|AU|9100.01~SVC|HC^1BA31|0|2574.56|0023~DTM|472|20251007~CAS|CO|45|-2627.1||253|52.54~REF|6R|10897823136Z1~AMT|B6|2627.1~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251007~CAS|CO|45|.01~REF|6R|10897823136Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251007~CAS|CO|45|700~REF|6R|10897823136Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251010~CAS|CO|45|700~REF|6R|10897823136Z4~SVC|HC^G0299|700|0|0551|0~DTM|472|20251011~CAS|CO|45|700~REF|6R|10897823136Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20251014~CAS|CO|45|700~REF|6R|10897823136Z6~SVC|HC^G0157|700|0|0421|0~DTM|472|20251014~CAS|CO|45|700~REF|6R|10897823136Z7~SVC|HC^G0157|700|0|0421|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10897823136Z8~SVC|HC^G0299|700|0|0551|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10897823136Z9~SVC|HC^G0157|700|0|0421|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10897823136Z10~SVC|HC^G0157|700|0|0421|0~DTM|472|20251023~CAS|CO|45|700~REF|6R|10897823136Z11~SVC|HC^G0299|700|0|0551|0~DTM|472|20251028~CAS|CO|45|700~REF|6R|10897823136Z12~SVC|HC^G0157|700|0|0421|0~DTM|472|20251028~CAS|CO|45|700~REF|6R|10897823136Z13~SVC|HC^G0299|700|0|0551|0~DTM|472|20251104~CAS|CO|45|700~REF|6R|10897823136Z14~SVC|HC^G0151|700|0|0421|0~DTM|472|20251104~CAS|CO|45|700~REF|6R|10897823136Z15~CLP|1150-251110150056|1|5600.01|1961.14||MA|178001771|32|9~NM1|QC|1|MCGINNIS|RUBY||||MI|91319637~NM1|74|1|||M~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|91319637~REF|G1|1720174134~DTM|232|20251010~DTM|233|20251024~DTM|050|20251111~AMT|AU|5600.01~SVC|HC^1EA11|0|1961.14|0023~DTM|472|20251010~CAS|CO|45|-2001.16||253|40.02~REF|6R|10897891512Z1~AMT|B6|2001.16~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251010~CAS|CO|45|.01~REF|6R|10897891512Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251010~CAS|CO|45|700~REF|6R|10897891512Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251010~CAS|CO|45|700~REF|6R|10897891512Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251014~CAS|CO|45|700~REF|6R|10897891512Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10897891512Z6~SVC|HC^G0151|700|0|0421|0~DTM|472|20251016~CAS|CO|45|700~REF|6R|10897891512Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20251017~CAS|CO|45|700~REF|6R|10897891512Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10897891512Z9~SVC|HC^G0151|700|0|0421|0~DTM|472|20251024~CAS|CO|45|700~REF|6R|10897891512Z10~CLP|1150-251110144548|1|2100.01|2053.2||MA|178001765|32|9~NM1|QC|1|JOYAVE|MADELINE||||MI|95323500~NM1|74|1|||V~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|95323500~REF|G1|1720179638~DTM|232|20251027~DTM|233|20251030~DTM|050|20251111~AMT|AU|2100.01~SVC|HC^3CA21|0|2053.2|0023~DTM|472|20251027~CAS|CO|45|-2095.1||253|41.9~REF|6R|10897777070Z1~AMT|B6|2095.1~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251027~CAS|CO|45|.01~REF|6R|10897777070Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10897777070Z3~SVC|HC^G0152|700|0|0431|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10897777070Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251030~CAS|CO|45|700~REF|6R|10897777070Z5~CLP|1150-251110123423|1|2800.01|1415.72||MA|178001751|32|9~NM1|QC|1|BOSTON|MARY||||MI|94152962~NM1|74|1|||J~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|94152962~REF|G1|1720126169~DTM|232|20251015~DTM|233|20251030~DTM|050|20251111~AMT|AU|2800.01~SVC|HC^3EB11|0|1415.72|0023~DTM|472|20251015~CAS|CO|45|-1444.61||253|28.89~REF|6R|10897158292Z1~AMT|B6|1444.61~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251015~CAS|CO|45|.01~REF|6R|10897158292Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251015~CAS|CO|45|700~REF|6R|10897158292Z3~SVC|HC^G0157|700|0|0421|0~DTM|472|20251015~CAS|CO|45|700~REF|6R|10897158292Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10897158292Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20251030~CAS|CO|45|700~REF|6R|10897158292Z6~CLP|1150-251110124349|1|1400.01|469.3||MA|178001756|32|9~NM1|QC|1|BREWER|BARBARA||||MI|39177008~NM1|74|1|||C~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|39177008~REF|G1|1720221127~DTM|232|20251011~DTM|233|20251017~DTM|050|20251111~AMT|AU|1400.01~SVC|HC^1HA21|0|469.3|0023~DTM|472|20251011~CAS|CO|45|-478.88||253|9.58~REF|6R|10897222448Z1~AMT|B6|478.88~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251011~CAS|CO|45|.01~REF|6R|10897222448Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251011~CAS|CO|45|700~REF|6R|10897222448Z3~SVC|HC^G0299|700|0|0551|0~DTM|472|20251017~CAS|CO|45|700~REF|6R|10897222448Z4~CLP|1150-251110123924|1|5600.01|1543.55||MA|178001752|32|9~NM1|QC|1|BOWLES|CLIFTON||||MI|66189705~NM1|74|1|||B~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|66189705~REF|G1|1720129812~DTM|232|20251013~DTM|233|20251105~DTM|050|20251111~AMT|AU|5600.01~SVC|HC^3EB21|0|1543.55|0023~DTM|472|20251013~CAS|CO|45|-1575.05||253|31.5~REF|6R|10897206038Z1~AMT|B6|1575.05~LQ|HE|N669~SVC|HC^Q5001|.01|0|0421|0~DTM|472|20251013~CAS|CO|45|.01~REF|6R|10897206038Z2~SVC|HC^G0151|700|0|0421|0~DTM|472|20251013~CAS|CO|45|700~REF|6R|10897206038Z3~SVC|HC^G0299|700|0|0551|0~DTM|472|20251015~CAS|CO|45|700~REF|6R|10897206038Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10897206038Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20251022~CAS|CO|45|700~REF|6R|10897206038Z6~SVC|HC^G0152|700|0|0431|0~DTM|472|20251022~CAS|CO|45|700~REF|6R|10897206038Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10897206038Z8~SVC|HC^G0152|700|0|0431|0~DTM|472|20251029~CAS|CO|45|700~REF|6R|10897206038Z9~SVC|HC^G0152|700|0|0431|0~DTM|472|20251105~CAS|CO|45|700~REF|6R|10897206038Z10~CLP|1150-251110143250|1|5600.01|2131.08||MA|178001762|32|9~NM1|QC|1|GRINAGE|BEATRICE||||MI|49323071~NM1|74|1|||D|||C|76194498~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|76194498~REF|G1|1720214227~DTM|232|20251015~DTM|233|20251027~DTM|050|20251111~AMT|AU|5600.01~SVC|HC^1EB11|0|2131.08|0023~DTM|472|20251015~CAS|CO|45|-2174.57||253|43.49~REF|6R|10897727316Z1~AMT|B6|2174.57~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251015~CAS|CO|45|.01~REF|6R|10897727316Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251015~CAS|CO|45|700~REF|6R|10897727316Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251015~CAS|CO|45|700~REF|6R|10897727316Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251017~CAS|CO|45|700~REF|6R|10897727316Z5~SVC|HC^G0151|700|0|0421|0~DTM|472|20251020~CAS|CO|45|700~REF|6R|10897727316Z6~SVC|HC^G0299|700|0|0551|0~DTM|472|20251020~CAS|CO|45|700~REF|6R|10897727316Z7~SVC|HC^G0151|700|0|0421|0~DTM|472|20251022~CAS|CO|45|700~REF|6R|10897727316Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20251024~CAS|CO|45|700~REF|6R|10897727316Z9~SVC|HC^G0151|700|0|0421|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10897727316Z10~CLP|1150-251110172841|1|7000.01|2267.74||MA|178001783|32|9~NM1|QC|1|RIVKIN|BORIS||||MI|27196653~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|27196653~REF|G1|1720205150~DTM|232|20251003~DTM|233|20251029~DTM|050|20251111~AMT|AU|7000.01~SVC|HC^1BA21|0|2267.74|0023~DTM|472|20251003~CAS|CO|45|-2314.02||253|46.28~REF|6R|10898532001Z1~AMT|B6|2314.02~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251003~CAS|CO|45|.01~REF|6R|10898532001Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251003~CAS|CO|45|700~REF|6R|10898532001Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251006~CAS|CO|45|700~REF|6R|10898532001Z4~SVC|HC^G0152|700|0|0431|0~DTM|472|20251006~CAS|CO|45|700~REF|6R|10898532001Z5~SVC|HC^G0299|700|0|0551|0~DTM|472|20251010~CAS|CO|45|700~REF|6R|10898532001Z6~SVC|HC^G0152|700|0|0431|0~DTM|472|20251010~CAS|CO|45|700~REF|6R|10898532001Z7~SVC|HC^G0152|700|0|0431|0~DTM|472|20251013~CAS|CO|45|700~REF|6R|10898532001Z8~SVC|HC^G0151|700|0|0421|0~DTM|472|20251017~CAS|CO|45|700~REF|6R|10898532001Z9~SVC|HC^G0152|700|0|0431|0~DTM|472|20251020~CAS|CO|45|700~REF|6R|10898532001Z10~SVC|HC^G0152|700|0|0431|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10898532001Z11~SVC|HC^G0151|700|0|0421|0~DTM|472|20251029~CAS|CO|45|700~REF|6R|10898532001Z12~CLP|1150-251110124757|1|5600.01|2088.96||MA|178001757|32|9~NM1|QC|1|DAVEY|DEBORAH||||MI|18213525~NM1|74|1|||S~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|18213525~REF|G1|1720174198~DTM|232|20251014~DTM|233|20251030~DTM|050|20251111~AMT|AU|5600.01~SVC|HC^1EA21|0|2088.96|0023~DTM|472|20251014~CAS|CO|45|-2131.59||253|42.63~REF|6R|10897244612Z1~AMT|B6|2131.59~LQ|HE|N669~SVC|HC^Q5001|.01|0|0551|0~DTM|472|20251014~CAS|CO|45|.01~REF|6R|10897244612Z2~SVC|HC^G0299|700|0|0551|0~DTM|472|20251014~CAS|CO|45|700~REF|6R|10897244612Z3~SVC|HC^G0151|700|0|0421|0~DTM|472|20251014~CAS|CO|45|700~REF|6R|10897244612Z4~SVC|HC^G0157|700|0|0421|0~DTM|472|20251020~CAS|CO|45|700~REF|6R|10897244612Z5~SVC|HC^G0157|700|0|0421|0~DTM|472|20251022~CAS|CO|45|700~REF|6R|10897244612Z6~SVC|HC^G0157|700|0|0421|0~DTM|472|20251024~CAS|CO|45|700~REF|6R|10897244612Z7~SVC|HC^G0299|700|0|0551|0~DTM|472|20251025~CAS|CO|45|700~REF|6R|10897244612Z8~SVC|HC^G0157|700|0|0421|0~DTM|472|20251027~CAS|CO|45|700~REF|6R|10897244612Z9~SVC|HC^G0151|700|0|0421|0~DTM|472|20251030~CAS|CO|45|700~REF|6R|10897244612Z10~CLP|1150-251110173712|1|2100.01|1245.56||MA|178001787|32|9~NM1|QC|1|TYLER|JAYNE||||MI|54215010~NM1|74|1|||A~NM1|82|2|HOMECENTRIS HOME HEALTH II LLC|||||XX|1487113239~REF|EA|54215010~REF|G1|1720000403~DTM|232|20251021~DTM|233|20251028~DTM|050|20251111~AMT|AU|2100.01~SVC|HC^3EA11|0|1245.56|0023~DTM|472|20251021~CAS|CO|45|-1270.98||253|25.42~REF|6R|10898577393Z1~AMT|B6|1270.98~LQ|HE|N669~SVC|HC^Q5001|.01|0|0421|0~DTM|472|20251021~CAS|CO|45|.01~REF|6R|10898577393Z2~SVC|HC^G0151|700|0|0421|0~DTM|472|20251021~CAS|CO|45|700~REF|6R|10898577393Z3~SVC|HC^G0152|700|0|0431|0~DTM|472|20251022~CAS|CO|45|700~REF|6R|10898577393Z4~SVC|HC^G0151|700|0|0421|0~DTM|472|20251028~CAS|CO|45|700~REF|6R|10898577393Z5~SE|934|0001~GE|1|3459~IEA|1|000003459~