ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260310*1703*^*00501*000041745*0*P*>~
GS*HS*10000*10000*260310*1703*1487113239*X*005010X279A1~
ST*270*000041745*005010X279A1~
BHT*0022*13*000041745*260369*1703~
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*DENNIS*MARION****MI*7CK5W50YX74~
DMG*D8*19500320*M~
DTP*291*RD8*20260310-20260608~
EQ*42~
EQ*30~
SE*14*000041745~
GE*1*41745~
IEA*1*000041745~