ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251009*0810*^*00501*000028146*0*P*>~
GS*HS*10000*10000*251009*0810*1487113239*X*005010X279A1~
ST*270*000028146*005010X279A1~
BHT*0022*13*000028146*2510282*0810~
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*ADDISON*FRANZINE****MI*6VH3RQ9CR98~
DMG*D8*19480118*F~
DTP*291*RD8*20251009-20260107~
EQ*42~
EQ*30~
SE*14*000028146~
GE*1*28146~
IEA*1*000028146~

