ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260222*1002*^*00501*000041380*0*P*>~
GS*HS*10000*10000*260222*1002*1487113239*X*005010X279A1~
ST*270*000041380*005010X279A1~
BHT*0022*13*000041380*260253*1002~
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*CORNBLATT*ROSLYN****MI*2T75R60CA85~
DMG*D8*19440614*F~
DTP*291*RD8*20260222-20260523~
EQ*42~
EQ*30~
SE*14*000041380~
GE*1*41380~
IEA*1*000041380~

