ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260304*1503*^*00501*000003194*0*P*>~
GS*HS*10000*10000*260304*1503*1487113239*X*005010X279A1~
ST*270*000003194*005010X279A1~
BHT*0022*13*000003194*260363*1503~
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*MORTON*DONALD****MI*5JK1V75RA37~
DMG*D8*19481204*M~
DTP*291*RD8*20260304-20260602~
EQ*42~
EQ*30~
SE*14*000003194~
GE*1*3194~
IEA*1*000003194~