ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260605*1206*^*00501*000005025*0*P*>~
GS*HS*10000*10000*260605*1206*1487113239*X*005010X279A1~
ST*270*000005025*005010X279A1~
BHT*0022*13*000005025*2606156*1206~
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*WILLIAMS *HARRY ****MI*1RY1H19NU13~
DMG*D8*19500623*M~
DTP*291*RD8*20260605-20260903~
EQ*42~
EQ*30~
SE*14*000005025~
GE*1*5025~
IEA*1*000005025~

