ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260203*1702*^*00501*000040217*0*P*>~
GS*HS*10000*10000*260203*1702*1487113239*X*005010X279A1~
ST*270*000040217*005010X279A1~
BHT*0022*13*000040217*260234*1702~
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*BUCKSON*FELITA****MI*5HJ8P72YU31~
DMG*D8*19580908*F~
DTP*291*RD8*20260203-20260504~
EQ*42~
EQ*30~
SE*14*000040217~
GE*1*40217~
IEA*1*000040217~

