ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260407*1504*^*00501*000042486*0*P*>~
GS*HS*10000*10000*260407*1504*1487113239*X*005010X279A1~
ST*270*000042486*005010X279A1~
BHT*0022*13*000042486*260497*1504~
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*GRABENSTEIN*DEBORAH****MI*3Y52VN1HR07~
DMG*D8*19590907*F~
DTP*291*RD8*20260407-20260706~
EQ*42~
EQ*30~
SE*14*000042486~
GE*1*42486~
IEA*1*000042486~