ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260224*0802*^*00501*000029115*0*P*>~
GS*HS*10000*10000*260224*0802*1487113239*X*005010X279A1~
ST*270*000029115*005010X279A1~
BHT*0022*13*000029115*260255*0802~
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*HELLMAN*ANNA****MI*5HU5A88DN64~
DMG*D8*19520417*F~
DTP*291*RD8*20260224-20260525~
EQ*42~
EQ*30~
SE*14*000029115~
GE*1*29115~
IEA*1*000029115~