ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260527*1305*^*00501*000046388*0*P*>~
GS*HS*10000*10000*260527*1305*1487113239*X*005010X279A1~
ST*270*000046388*005010X279A1~
BHT*0022*13*000046388*2605147*1305~
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*WHITE*GAYLE****MI*9AN8YX6DK56~
DMG*D8*19400308*F~
DTP*291*RD8*20260527-20260825~
EQ*42~
EQ*30~
SE*14*000046388~
GE*1*46388~
IEA*1*000046388~

