ISA*00*          *00*          *ZZ*15004          *ZZ*15004          *260420*1204*^*00501*000044243*0*P*>~
GS*HS*15004*15004*260420*1204*1487113239*X*005010X279A1~
ST*270*000044243*005010X279A1~
BHT*0022*13*000044243*2604110*1204~
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*LANGLEY*SHIRLEY****MI*5WA0K95JJ26~
DMG*D8*19441222*F~
DTP*291*RD8*20260420-20260719~
EQ*42~
EQ*30~
SE*14*000044243~
GE*1*44243~
IEA*1*000044243~