ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260105*1601*^*00501*000033194*0*P*>~
GS*HS*10000*10000*260105*1601*1487113239*X*005010X279A1~
ST*270*000033194*005010X279A1~
BHT*0022*13*000033194*260105*1601~
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*MCCANN*PATRICK****MI*3e89p21hj34~
DMG*D8*19530312*M~
DTP*291*RD8*20260105-20260405~
EQ*42~
EQ*30~
SE*14*000033194~
GE*1*33194~
IEA*1*000033194~

