ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251124*1011*^*00501*000027791*0*P*>~
GS*HS*10000*10000*251124*1011*1487113239*X*005010X279A1~
ST*270*000027791*005010X279A1~
BHT*0022*13*000027791*2511328*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*PHARR*LARRY****MI*7YK2EU6PV13~
DMG*D8*19570830*M~
DTP*291*RD8*20251124-20260222~
EQ*42~
EQ*30~
SE*14*000027791~
GE*1*27791~
IEA*1*000027791~