ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260504*1805*^*00501*000039360*0*P*>~
GS*HS*10000*10000*260504*1805*1487113239*X*005010X279A1~
ST*270*000039360*005010X279A1~
BHT*0022*13*000039360*2605124*1805~
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*MULLINGS*LAZELLE****MI*2YJ8RC9QX34~
DMG*D8*19481221*F~
DTP*291*RD8*20260504-20260802~
EQ*42~
EQ*30~
SE*14*000039360~
GE*1*39360~
IEA*1*000039360~

