ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250807*1508*^*00501*000004591*0*P*>~
GS*HS*10000*10000*250807*1508*1487113239*X*005010X279A1~
ST*270*000004591*005010X279A1~
BHT*0022*13*000004591*2508219*1508~
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*LOGAN*BETTIE****MI*2k76tc0ay45~
DMG*D8*19570715*F~
DTP*291*RD8*20250807-20251105~
EQ*42~
EQ*30~
SE*14*000004591~
GE*1*4591~
IEA*1*000004591~