ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260113*1101*^*00501*000038909*0*P*>~
GS*HS*10000*10000*260113*1101*1487113239*X*005010X279A1~
ST*270*000038909*005010X279A1~
BHT*0022*13*000038909*260113*1101~
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*DEWESE*CARLIS****MI*6WC0N10UF44~
DMG*D8*19490113*M~
DTP*291*RD8*20260113-20260413~
EQ*42~
EQ*30~
SE*14*000038909~
GE*1*38909~
IEA*1*000038909~