ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250910*1209*^*00501*000032279*0*P*>~
GS*HS*10000*10000*250910*1209*1487113239*X*005010X279A1~
ST*270*000032279*005010X279A1~
BHT*0022*13*000032279*2509253*1209~
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*PUGH*CHARLES****MI*8AR4QM5GH98~
DMG*D8*19370619*M~
DTP*291*RD8*20250910-20251209~
EQ*42~
EQ*30~
SE*14*000032279~
GE*1*32279~
IEA*1*000032279~

