ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260507*1505*^*00501*000043368*0*P*>~
GS*HS*10000*10000*260507*1505*1487113239*X*005010X279A1~
ST*270*000043368*005010X279A1~
BHT*0022*13*000043368*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*WASHINGTON*STEPHANIE****MI*3P16VM6XW87~
DMG*D8*19660116*F~
DTP*291*RD8*20260507-20260805~
EQ*42~
EQ*30~
SE*14*000043368~
GE*1*43368~
IEA*1*000043368~

