ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260217*1102*^*00501*000041114*0*P*>~
GS*HS*10000*10000*260217*1102*1487113239*X*005010X279A1~
ST*270*000041114*005010X279A1~
BHT*0022*13*000041114*260248*1102~
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*RUSSELL*WANDA****MI*2D55UT7AD76~
DMG*D8*19560419*F~
DTP*291*RD8*20260217-20260518~
EQ*42~
EQ*30~
SE*14*000041114~
GE*1*41114~
IEA*1*000041114~