ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260505*1405*^*00501*000037902*0*P*>~
GS*HS*10000*10000*260505*1405*1487113239*X*005010X279A1~
ST*270*000037902*005010X279A1~
BHT*0022*13*000037902*2605125*1405~
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*TABOR II*RONALD****MI*4WQ4R16KV87~
DMG*D8*19651211*M~
DTP*291*RD8*20260505-20260803~
EQ*42~
EQ*30~
SE*14*000037902~
GE*1*37902~
IEA*1*000037902~