ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250731*1207*^*00501*000029921*0*P*>~
GS*HS*10000*10000*250731*1207*1487113239*X*005010X279A1~
ST*270*000029921*005010X279A1~
BHT*0022*13*000029921*2507212*1207~
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*CONNELL*MARK****MI*9DG4WF1QT88~
DMG*D8*19420825*M~
DTP*291*RD8*20250731-20251029~
EQ*42~
EQ*30~
SE*14*000029921~
GE*1*29921~
IEA*1*000029921~