ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260202*1402*^*00501*000036475*0*P*>~
GS*HS*10000*10000*260202*1402*1487113239*X*005010X279A1~
ST*270*000036475*005010X279A1~
BHT*0022*13*000036475*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*RUTH*JAMES****MI*3ME1DH5XE25~
DMG*D8*19600619*M~
DTP*291*RD8*20260202-20260503~
EQ*42~
EQ*30~
SE*14*000036475~
GE*1*36475~
IEA*1*000036475~

