ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260203*1302*^*00501*000038948*0*P*>~
GS*HS*10000*10000*260203*1302*1487113239*X*005010X279A1~
ST*270*000038948*005010X279A1~
BHT*0022*13*000038948*260234*1302~
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*HOPWOOD*TERREE****MI*8MH3Y47KA75~
DMG*D8*19531210*F~
DTP*291*RD8*20260203-20260504~
EQ*42~
EQ*30~
SE*14*000038948~
GE*1*38948~
IEA*1*000038948~

