ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260102*1201*^*00501*000037697*0*P*>~
GS*HS*10000*10000*260102*1201*1487113239*X*005010X279A1~
ST*270*000037697*005010X279A1~
BHT*0022*13*000037697*260102*1201~
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*BAILEY*RICHARD****MI*5TR1ME6GJ99~
DMG*D8*19460520*M~
DTP*291*RD8*20260102-20260402~
EQ*42~
EQ*30~
SE*14*000037697~
GE*1*37697~
IEA*1*000037697~

