ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260407*1404*^*00501*000042558*0*P*>~
GS*HS*10000*10000*260407*1404*1487113239*X*005010X279A1~
ST*270*000042558*005010X279A1~
BHT*0022*13*000042558*260497*1404~
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*BREEDEN*ELIZABETH****MI*8NH6GH5VN55~
DMG*D8*19370305*F~
DTP*291*RD8*20260407-20260706~
EQ*42~
EQ*30~
SE*14*000042558~
GE*1*42558~
IEA*1*000042558~