ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260102*1201*^*00501*000037526*0*P*>~
GS*HS*10000*10000*260102*1201*1487113239*X*005010X279A1~
ST*270*000037526*005010X279A1~
BHT*0022*13*000037526*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*CLARK*ETHEL****MI*8YM9HX4DV14~
DMG*D8*19400809*F~
DTP*291*RD8*20260102-20260402~
EQ*42~
EQ*30~
SE*14*000037526~
GE*1*37526~
IEA*1*000037526~