ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260311*1603*^*00501*000042288*0*P*>~
GS*HS*10000*10000*260311*1603*1487113239*X*005010X279A1~
ST*270*000042288*005010X279A1~
BHT*0022*13*000042288*260370*1603~
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*ANDERSON*JAMES****MI*6GV2UA3XT89~
DMG*D8*19470511*M~
DTP*291*RD8*20260311-20260609~
EQ*42~
EQ*30~
SE*14*000042288~
GE*1*42288~
IEA*1*000042288~

