ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250806*1408*^*00501*000030318*0*P*>~
GS*HS*10000*10000*250806*1408*1487113239*X*005010X279A1~
ST*270*000030318*005010X279A1~
BHT*0022*13*000030318*2508218*1408~
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*TYLER*SHIRLEY****MI*4PK0V11QF01~
DMG*D8*19370311*F~
DTP*291*RD8*20250806-20251104~
EQ*42~
EQ*30~
SE*14*000030318~
GE*1*30318~
IEA*1*000030318~