ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250815*1408*^*00501*000030942*0*P*>~
GS*HS*10000*10000*250815*1408*1487113239*X*005010X279A1~
ST*270*000030942*005010X279A1~
BHT*0022*13*000030942*2508227*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*TALLEY*LANGSTON****MI*1RR4V72TU97~
DMG*D8*19261006*M~
DTP*291*RD8*20250815-20251113~
EQ*42~
EQ*30~
SE*14*000030942~
GE*1*30942~
IEA*1*000030942~