ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260608*1506*^*00501*000047543*0*P*>~
GS*HS*10000*10000*260608*1506*1487113239*X*005010X279A1~
ST*270*000047543*005010X279A1~
BHT*0022*13*000047543*2606159*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*PAIGE*ANDREW****MI*3CU7NK3CQ46~
DMG*D8*19550812*M~
DTP*291*RD8*20260608-20260906~
EQ*42~
EQ*30~
SE*14*000047543~
GE*1*47543~
IEA*1*000047543~