ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260206*1202*^*00501*000039438*0*P*>~
GS*HS*10000*10000*260206*1202*1487113239*X*005010X279A1~
ST*270*000039438*005010X279A1~
BHT*0022*13*000039438*260237*1202~
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*BRANCH*FRANCES****MI*8YU0WM0CX02~
DMG*D8*19510715*F~
DTP*291*RD8*20260206-20260507~
EQ*42~
EQ*30~
SE*14*000039438~
GE*1*39438~
IEA*1*000039438~

