ISA*00*          *00*          *ZZ*15004          *ZZ*15004          *260225*1002*^*00501*000041571*0*P*>~
GS*HS*15004*15004*260225*1002*1487113239*X*005010X279A1~
ST*270*000041571*005010X279A1~
BHT*0022*13*000041571*260256*1002~
HL*1**20*1~
NM1*PR*2*MEDICARE*****PI*10000~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*BUTLER*TOYOME****MI*6MG2W07GK11~
DMG*D8*19530429*F~
DTP*291*RD8*20260225-20260526~
EQ*42~
EQ*30~
SE*14*000041571~
GE*1*41571~
IEA*1*000041571~