ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260419*1104*^*00501*000044203*0*P*>~
GS*HS*10000*10000*260419*1104*1487113239*X*005010X279A1~
ST*270*000044203*005010X279A1~
BHT*0022*13*000044203*2604109*1104~
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*BROWN*MABLE****MI*7H62YP2VE88~
DMG*D8*19540827*F~
DTP*291*RD8*20260419-20260718~
EQ*42~
EQ*30~
SE*14*000044203~
GE*1*44203~
IEA*1*000044203~

