ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260609*0706*^*00501*000047568*0*P*>~
GS*HS*10000*10000*260609*0706*1487113239*X*005010X279A1~
ST*270*000047568*005010X279A1~
BHT*0022*13*000047568*2606160*0706~
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*GORDON*ROBERT****MI*9GE5XP8XH58~
DMG*D8*19510928*M~
DTP*291*RD8*20260609-20260907~
EQ*42~
EQ*30~
SE*14*000047568~
GE*1*47568~
IEA*1*000047568~

