ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250905*1509*^*00501*000031839*0*P*>~
GS*HS*10000*10000*250905*1509*1487113239*X*005010X279A1~
ST*270*000031839*005010X279A1~
BHT*0022*13*000031839*2509248*1509~
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*GLENN*MICHAEL****MI*1MT6CQ9XC44~
DMG*D8*19520327*M~
DTP*291*RD8*20250905-20251204~
EQ*42~
EQ*30~
SE*14*000031839~
GE*1*31839~
IEA*1*000031839~

