ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260401*1204*^*00501*000043015*0*P*>~
GS*HS*10000*10000*260401*1204*1487113239*X*005010X279A1~
ST*270*000043015*005010X279A1~
BHT*0022*13*000043015*260491*1204~
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*ALLEN*MARILYN****MI*6KJ3UC5PN06~
DMG*D8*19530406*F~
DTP*291*RD8*20260401-20260630~
EQ*42~
EQ*30~
SE*14*000043015~
GE*1*43015~
IEA*1*000043015~