ISA*00*          *00*          *ZZ*15004          *ZZ*15004          *260402*1004*^*00501*000043045*0*P*>~
GS*HS*15004*15004*260402*1004*1487113239*X*005010X279A1~
ST*270*000043045*005010X279A1~
BHT*0022*13*000043045*260492*1004~
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*ZERNE*ROGER****MI*4XT0PU4VF37~
DMG*D8*19480923*M~
DTP*291*RD8*20260402-20260701~
EQ*42~
EQ*30~
SE*14*000043045~
GE*1*43045~
IEA*1*000043045~