ISA*00*          *00*          *ZZ*15004          *ZZ*15004          *260317*1503*^*00501*000042506*0*P*>~
GS*HS*15004*15004*260317*1503*1487113239*X*005010X279A1~
ST*270*000042506*005010X279A1~
BHT*0022*13*000042506*260376*1503~
HL*1**20*1~
NM1*PR*2*MEDICARE*****PI*10000~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*BRAILSFORD*EDITH****MI*3HW3AY4DK94~
DMG*D8*19391012*F~
DTP*291*RD8*20260317-20260615~
EQ*42~
EQ*30~
SE*14*000042506~
GE*1*42506~
IEA*1*000042506~