ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260605*1206*^*00501*000041945*0*P*>~
GS*HS*10000*10000*260605*1206*1487113239*X*005010X279A1~
ST*270*000041945*005010X279A1~
BHT*0022*13*000041945*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*WILSON*VERA****MI*6MD5KU9GC72~
DMG*D8*19590420*F~
DTP*291*RD8*20260605-20260903~
EQ*42~
EQ*30~
SE*14*000041945~
GE*1*41945~
IEA*1*000041945~

