ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250917*1509*^*00501*000032558*0*P*>~
GS*HS*10000*10000*250917*1509*1487113239*X*005010X279A1~
ST*270*000032558*005010X279A1~
BHT*0022*13*000032558*2509260*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*HOPKINS*HENRY****MI*7K60CY0KX43~
DMG*D8*19520801*M~
DTP*291*RD8*20250917-20251216~
EQ*42~
EQ*30~
SE*14*000032558~
GE*1*32558~
IEA*1*000032558~

