ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260506*1105*^*00501*000022389*0*P*>~
GS*HS*10000*10000*260506*1105*1487113239*X*005010X279A1~
ST*270*000022389*005010X279A1~
BHT*0022*13*000022389*2605126*1105~
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*BRADLEY*VICKI****MI*2QC3QU3YP81~
DMG*D8*19680301*F~
DTP*291*RD8*20260506-20260804~
EQ*42~
EQ*30~
SE*14*000022389~
GE*1*22389~
IEA*1*000022389~