ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260125*1101*^*00501*000039354*0*P*>~
GS*HS*10000*10000*260125*1101*1487113239*X*005010X279A1~
ST*270*000039354*005010X279A1~
BHT*0022*13*000039354*260125*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*SMITH*BEVERLY****MI*1G90C24QG13~
DMG*D8*19550211*F~
DTP*291*RD8*20260125-20260425~
EQ*42~
EQ*30~
SE*14*000039354~
GE*1*39354~
IEA*1*000039354~