ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *251217*1312*^*00501*000037576*0*P*>~
GS*HS*10000*10000*251217*1312*1487113239*X*005010X279A1~
ST*270*000037576*005010X279A1~
BHT*0022*13*000037576*2512351*1312~
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*CRAWFORD*LENEIDA****MI*8JV7FE4NX63~
DMG*D8*19530829*F~
DTP*291*RD8*20251217-20260317~
EQ*42~
EQ*30~
SE*14*000037576~
GE*1*37576~
IEA*1*000037576~