ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260603*1106*^*00501*000042514*0*P*>~
GS*HS*10000*10000*260603*1106*1487113239*X*005010X279A1~
ST*270*000042514*005010X279A1~
BHT*0022*13*000042514*2606154*1106~
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*CAINES*JOHN****MI*7NX6UP6AD59~
DMG*D8*19420618*M~
DTP*291*RD8*20260603-20260901~
EQ*42~
EQ*30~
SE*14*000042514~
GE*1*42514~
IEA*1*000042514~