ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251211*1412*^*00501*000037439*0*P*>~
GS*HS*10000*10000*251211*1412*1487113239*X*005010X279A1~
ST*270*000037439*005010X279A1~
BHT*0022*13*000037439*2512345*1412~
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*CARTER*CALVIN****MI*2GM5N12RG63~
DMG*D8*19270727*M~
DTP*291*RD8*20251211-20260311~
EQ*42~
EQ*30~
SE*14*000037439~
GE*1*37439~
IEA*1*000037439~