ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251014*1410*^*00501*000034111*0*P*>~
GS*HS*10000*10000*251014*1410*1487113239*X*005010X279A1~
ST*270*000034111*005010X279A1~
BHT*0022*13*000034111*2510287*1410~
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*LEVENBERG*GEORGIA****MI*6U52ND6RT98~
DMG*D8*19460925*F~
DTP*291*RD8*20251014-20260112~
EQ*42~
EQ*30~
SE*14*000034111~
GE*1*34111~
IEA*1*000034111~