ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260303*1103*^*00501*000041725*0*P*>~
GS*HS*10000*10000*260303*1103*1487113239*X*005010X279A1~
ST*270*000041725*005010X279A1~
BHT*0022*13*000041725*260362*1103~
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*LOPEZ*HARRIET****MI*2D10HY8UC11~
DMG*D8*19420301*F~
DTP*291*RD8*20260303-20260601~
EQ*42~
EQ*30~
SE*14*000041725~
GE*1*41725~
IEA*1*000041725~