ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260115*1501*^*00501*000039026*0*P*>~
GS*HS*10000*10000*260115*1501*1487113239*X*005010X279A1~
ST*270*000039026*005010X279A1~
BHT*0022*13*000039026*260115*1501~
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*HOOK*MARGARET****MI*8V92R25XW25~
DMG*D8*19460409*F~
DTP*291*RD8*20260115-20260415~
EQ*42~
EQ*30~
SE*14*000039026~
GE*1*39026~
IEA*1*000039026~

