ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260316*1303*^*00501*000042379*0*P*>~
GS*HS*10000*10000*260316*1303*1487113239*X*005010X279A1~
ST*270*000042379*005010X279A1~
BHT*0022*13*000042379*260375*1303~
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*PETRICH*RAISA****MI*3T18HG5TY29~
DMG*D8*19370611*F~
DTP*291*RD8*20260316-20260614~
EQ*42~
EQ*30~
SE*14*000042379~
GE*1*42379~
IEA*1*000042379~