ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260220*1502*^*00501*000004419*0*P*>~
GS*HS*10000*10000*260220*1502*1487113239*X*005010X279A1~
ST*270*000004419*005010X279A1~
BHT*0022*13*000004419*260251*1502~
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*GLADDEN*LEROY****MI*8WF7AU8RY62~
DMG*D8*19460711*M~
DTP*291*RD8*20260220-20260521~
EQ*42~
EQ*30~
SE*14*000004419~
GE*1*4419~
IEA*1*000004419~

