ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260408*1104*^*00501*000043618*0*P*>~
GS*HS*10000*10000*260408*1104*1487113239*X*005010X279A1~
ST*270*000043618*005010X279A1~
BHT*0022*13*000043618*260498*1104~
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*KIRBY*RICHARD****MI*7ft0kg6wf17~
DMG*D8*19761118*M~
DTP*291*RD8*20260408-20260707~
EQ*42~
EQ*30~
SE*14*000043618~
GE*1*43618~
IEA*1*000043618~

