ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250725*1607*^*00501*000029751*0*P*>~
GS*HS*10000*10000*250725*1607*1487113239*X*005010X279A1~
ST*270*000029751*005010X279A1~
BHT*0022*13*000029751*2507206*1607~
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*CLARK*MILDRED****MI*1A73TW6RA16~
DMG*D8*19451111*F~
DTP*291*RD8*20250725-20251023~
EQ*42~
EQ*30~
SE*14*000029751~
GE*1*29751~
IEA*1*000029751~