ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260120*1401*^*00501*000039222*0*P*>~
GS*HS*10000*10000*260120*1401*1487113239*X*005010X279A1~
ST*270*000039222*005010X279A1~
BHT*0022*13*000039222*260120*1401~
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*COLEMAN*JAMES****MI*4PD3CV9RE13~
DMG*D8*19480506*M~
DTP*291*RD8*20260120-20260420~
EQ*42~
EQ*30~
SE*14*000039222~
GE*1*39222~
IEA*1*000039222~