ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250724*1107*^*00501*000029644*0*P*>~
GS*HS*10000*10000*250724*1107*1487113239*X*005010X279A1~
ST*270*000029644*005010X279A1~
BHT*0022*13*000029644*2507205*1107~
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*RAGAN*BETTY****MI*6VP5KR5GQ62~
DMG*D8*19420718*F~
DTP*291*RD8*20250724-20251022~
EQ*42~
EQ*30~
SE*14*000029644~
GE*1*29644~
IEA*1*000029644~