ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260603*1506*^*00501*000045962*0*P*>~
GS*HS*10000*10000*260603*1506*1487113239*X*005010X279A1~
ST*270*000045962*005010X279A1~
BHT*0022*13*000045962*2606154*1506~
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*DANOS*WILLIAM****MI*4R50R24FQ06~
DMG*D8*19530423*M~
DTP*291*RD8*20260603-20260901~
EQ*42~
EQ*30~
SE*14*000045962~
GE*1*45962~
IEA*1*000045962~

