ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260115*1001*^*00501*000039030*0*P*>~
GS*HS*10000*10000*260115*1001*1487113239*X*005010X279A1~
ST*270*000039030*005010X279A1~
BHT*0022*13*000039030*260115*1001~
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*DORSEY*LINDA****MI*5FR0C80NJ09~
DMG*D8*19560908*F~
DTP*291*RD8*20260115-20260415~
EQ*42~
EQ*30~
SE*14*000039030~
GE*1*39030~
IEA*1*000039030~