ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260323*1703*^*00501*000038912*0*P*>~
GS*HS*10000*10000*260323*1703*1487113239*X*005010X279A1~
ST*270*000038912*005010X279A1~
BHT*0022*13*000038912*260382*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*LUTZ*KATHLEEN****MI*9F56WX7FY63~
DMG*D8*19561014*F~
DTP*291*RD8*20260323-20260621~
EQ*42~
EQ*30~
SE*14*000038912~
GE*1*38912~
IEA*1*000038912~

