ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260109*1301*^*00501*000038826*0*P*>~
GS*HS*10000*10000*260109*1301*1487113239*X*005010X279A1~
ST*270*000038826*005010X279A1~
BHT*0022*13*000038826*260109*1301~
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*WATKINS*ERNEST****MI*6KH6F42FT79~
DMG*D8*19450228*M~
DTP*291*RD8*20260109-20260409~
EQ*42~
EQ*30~
SE*14*000038826~
GE*1*38826~
IEA*1*000038826~

