ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251203*1512*^*00501*000036566*0*P*>~
GS*HS*10000*10000*251203*1512*1487113239*X*005010X279A1~
ST*270*000036566*005010X279A1~
BHT*0022*13*000036566*2512337*1512~
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*GERRIOR*PHILLIP****MI*5MP6UJ5JU84~
DMG*D8*19550831*M~
DTP*291*RD8*20251203-20260303~
EQ*42~
EQ*30~
SE*14*000036566~
GE*1*36566~
IEA*1*000036566~