ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251212*0912*^*00501*000037460*0*P*>~
GS*HS*10000*10000*251212*0912*1487113239*X*005010X279A1~
ST*270*000037460*005010X279A1~
BHT*0022*13*000037460*2512346*0912~
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*EDEL*PATRICIA****MI*1WE1U64AJ38~
DMG*D8*19501222*F~
DTP*291*RD8*20251212-20260312~
EQ*42~
EQ*30~
SE*14*000037460~
GE*1*37460~
IEA*1*000037460~