ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260508*1405*^*00501*000045675*0*P*>~
GS*HS*10000*10000*260508*1405*1487113239*X*005010X279A1~
ST*270*000045675*005010X279A1~
BHT*0022*13*000045675*2605128*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*ONEIL*THOMAS****MI*6J19EQ9RV16~
DMG*D8*20260508*M~
DTP*291*RD8*20260508-20260806~
EQ*42~
EQ*30~
SE*14*000045675~
GE*1*45675~
IEA*1*000045675~