ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260211*0902*^*00501*000040859*0*P*>~
GS*HS*10000*10000*260211*0902*1487113239*X*005010X279A1~
ST*270*000040859*005010X279A1~
BHT*0022*13*000040859*260242*0902~
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*MOORE*ROSA****MI*1WE5YT8PJ99~
DMG*D8*19480728*M~
DTP*291*RD8*20260211-20260512~
EQ*42~
EQ*30~
SE*14*000040859~
GE*1*40859~
IEA*1*000040859~