ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260507*0905*^*00501*000045477*0*P*>~
GS*HS*10000*10000*260507*0905*1487113239*X*005010X279A1~
ST*270*000045477*005010X279A1~
BHT*0022*13*000045477*2605127*0905~
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*CLEMMONS*CYNTHIA****MI*1HV9XV2RN35~
DMG*D8*19530326*F~
DTP*291*RD8*20260507-20260805~
EQ*42~
EQ*30~
SE*14*000045477~
GE*1*45477~
IEA*1*000045477~