ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260604*0806*^*00501*000042676*0*P*>~
GS*HS*10000*10000*260604*0806*1487113239*X*005010X279A1~
ST*270*000042676*005010X279A1~
BHT*0022*13*000042676*2606155*0806~
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*LEE OGETTE*JUDITH****MI*8KK2DU7WV22~
DMG*D8*19451030*F~
DTP*291*RD8*20260604-20260902~
EQ*42~
EQ*30~
SE*14*000042676~
GE*1*42676~
IEA*1*000042676~

