ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260310*1403*^*00501*000033095*0*P*>~
GS*HS*10000*10000*260310*1403*1487113239*X*005010X279A1~
ST*270*000033095*005010X279A1~
BHT*0022*13*000033095*260369*1403~
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*BREWER*BRENT****MI*2PJ0RV6VA46~
DMG*D8*19511210*M~
DTP*291*RD8*20260310-20260608~
EQ*42~
EQ*30~
SE*14*000033095~
GE*1*33095~
IEA*1*000033095~