ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260421*1304*^*00501*000044322*0*P*>~
GS*HS*10000*10000*260421*1304*1487113239*X*005010X279A1~
ST*270*000044322*005010X279A1~
BHT*0022*13*000044322*2604111*1304~
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*HASH*GILBERT****MI*3MD0RF8WE14~
DMG*D8*19491128*M~
DTP*291*RD8*20260421-20260720~
EQ*42~
EQ*30~
SE*14*000044322~
GE*1*44322~
IEA*1*000044322~