ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250908*1609*^*00501*000032149*0*P*>~
GS*HS*10000*10000*250908*1609*1487113239*X*005010X279A1~
ST*270*000032149*005010X279A1~
BHT*0022*13*000032149*2509251*1609~
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*LIPSCOMB*ARLEEN****MI*2VJ3F92UR00~
DMG*D8*19620402*F~
DTP*291*RD8*20250908-20251207~
EQ*42~
EQ*30~
SE*14*000032149~
GE*1*32149~
IEA*1*000032149~

