ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260507*1505*^*00501*000044534*0*P*>~
GS*HS*10000*10000*260507*1505*1487113239*X*005010X279A1~
ST*270*000044534*005010X279A1~
BHT*0022*13*000044534*2605127*1505~
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*SMITHERS*SHIRLEY****MI*8EP8RJ8NX28~
DMG*D8*19430511*F~
DTP*291*RD8*20260507-20260805~
EQ*42~
EQ*30~
SE*14*000044534~
GE*1*44534~
IEA*1*000044534~