ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260424*0904*^*00501*000044435*0*P*>~
GS*HS*10000*10000*260424*0904*1487113239*X*005010X279A1~
ST*270*000044435*005010X279A1~
BHT*0022*13*000044435*2604114*0904~
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*SMALLEY*DAVID****MI*6T40DM4HX01~
DMG*D8*19590121*M~
DTP*291*RD8*20260424-20260723~
EQ*42~
EQ*30~
SE*14*000044435~
GE*1*44435~
IEA*1*000044435~

