ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *250929*0409*^*00501*000003968*0*P*>~
GS*HS*10000*10000*250929*0409*1487113239*X*005010X279A1~
ST*270*000003968*005010X279A1~
BHT*0022*13*000003968*2509272*0409~
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*CREAMER*MADELINE****MI*7X77VP5PQ20~
DMG*D8*19471122*F~
DTP*291*RD8*20250929-20251228~
EQ*42~
EQ*30~
SE*14*000003968~
GE*1*3968~
IEA*1*000003968~

