ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251128*1311*^*00501*000024195*0*P*>~
GS*HS*10000*10000*251128*1311*1487113239*X*005010X279A1~
ST*270*000024195*005010X279A1~
BHT*0022*13*000024195*2511332*1311~
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*BRADLEY*DORIS****MI*8W07QX4XM47~
DMG*D8*19880310*F~
DTP*291*RD8*20251128-20260226~
EQ*42~
EQ*30~
SE*14*000024195~
GE*1*24195~
IEA*1*000024195~