ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260312*0903*^*00501*000042294*0*P*>~
GS*HS*10000*10000*260312*0903*1487113239*X*005010X279A1~
ST*270*000042294*005010X279A1~
BHT*0022*13*000042294*260371*0903~
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*ORTIZ*ABRAHAM****MI*3U27VE9EK39~
DMG*D8*19561019*M~
DTP*291*RD8*20260312-20260610~
EQ*42~
EQ*30~
SE*14*000042294~
GE*1*42294~
IEA*1*000042294~