ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250812*1608*^*00501*000030801*0*P*>~
GS*HS*10000*10000*250812*1608*1487113239*X*005010X279A1~
ST*270*000030801*005010X279A1~
BHT*0022*13*000030801*2508224*1608~
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*CULLINGS*JOSEPH****MI*7JF3HA5CD15~
DMG*D8*19520922*M~
DTP*291*RD8*20250812-20251110~
EQ*42~
EQ*30~
SE*14*000030801~
GE*1*30801~
IEA*1*000030801~