ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260423*1104*^*00501*000044395*0*P*>~
GS*HS*10000*10000*260423*1104*1487113239*X*005010X279A1~
ST*270*000044395*005010X279A1~
BHT*0022*13*000044395*2604113*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*MARRUFFO*PATRICIA****MI*2JE2XR3XC92~
DMG*D8*19430822*F~
DTP*291*RD8*20260423-20260722~
EQ*42~
EQ*30~
SE*14*000044395~
GE*1*44395~
IEA*1*000044395~