ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260202*1402*^*00501*000037787*0*P*>~
GS*HS*10000*10000*260202*1402*1487113239*X*005010X279A1~
ST*270*000037787*005010X279A1~
BHT*0022*13*000037787*260233*1402~
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*WIEGMANN*FREDERIC****MI*6EC4FC0YJ77~
DMG*D8*19311014*M~
DTP*291*RD8*20260202-20260503~
EQ*42~
EQ*30~
SE*14*000037787~
GE*1*37787~
IEA*1*000037787~

