ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250826*1308*^*00501*000031329*0*P*>~
GS*HS*10000*10000*250826*1308*1487113239*X*005010X279A1~
ST*270*000031329*005010X279A1~
BHT*0022*13*000031329*2508238*1308~
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*GREEN-BURTON*CHERYL****MI*3PT4MQ5UC64~
DMG*D8*19560912*F~
DTP*291*RD8*20250826-20251124~
EQ*42~
EQ*30~
SE*14*000031329~
GE*1*31329~
IEA*1*000031329~

