ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250801*1208*^*00501*000029968*0*P*>~
GS*HS*10000*10000*250801*1208*1487113239*X*005010X279A1~
ST*270*000029968*005010X279A1~
BHT*0022*13*000029968*2508213*1208~
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*BELL*KARLENE****MI*8TQ1K45CG16~
DMG*D8*19880707*M~
DTP*291*RD8*20250801-20251030~
EQ*42~
EQ*30~
SE*14*000029968~
GE*1*29968~
IEA*1*000029968~