ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251110*1011*^*00501*000035443*0*P*>~
GS*HS*10000*10000*251110*1011*1487113239*X*005010X279A1~
ST*270*000035443*005010X279A1~
BHT*0022*13*000035443*2511314*1011~
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*BURKS*LESSIE****MI*5MK4AW7MY76~
DMG*D8*19580505*F~
DTP*291*RD8*20251110-20260208~
EQ*42~
EQ*30~
SE*14*000035443~
GE*1*35443~
IEA*1*000035443~

