ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251128*1511*^*00501*000036424*0*P*>~
GS*HS*10000*10000*251128*1511*1487113239*X*005010X279A1~
ST*270*000036424*005010X279A1~
BHT*0022*13*000036424*2511332*1511~
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*JOFFEE*ANNAFAYE****MI*7J12Q73UM19~
DMG*D8*19340306*F~
DTP*291*RD8*20251128-20260226~
EQ*42~
EQ*30~
SE*14*000036424~
GE*1*36424~
IEA*1*000036424~