ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260203*1402*^*00501*000037941*0*P*>~
GS*HS*10000*10000*260203*1402*1487113239*X*005010X279A1~
ST*270*000037941*005010X279A1~
BHT*0022*13*000037941*260234*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*PIFER*WAYNE****MI*8N32AF8VD14~
DMG*D8*19590308*M~
DTP*291*RD8*20260203-20260504~
EQ*42~
EQ*30~
SE*14*000037941~
GE*1*37941~
IEA*1*000037941~