ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260112*1301*^*00501*000038840*0*P*>~
GS*HS*10000*10000*260112*1301*1487113239*X*005010X279A1~
ST*270*000038840*005010X279A1~
BHT*0022*13*000038840*260112*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*PARKS*DOROTHY****MI*4A57NP7FF67~
DMG*D8*19340403*F~
DTP*291*RD8*20260112-20260412~
EQ*42~
EQ*30~
SE*14*000038840~
GE*1*38840~
IEA*1*000038840~