ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260612*1106*^*00501*000047681*0*P*>~
GS*HS*10000*10000*260612*1106*1487113239*X*005010X279A1~
ST*270*000047681*005010X279A1~
BHT*0022*13*000047681*2606163*1106~
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*JOHNSON*BEVERLY****MI*9V33TK0AV98~
DMG*D8*19461206*M~
DTP*291*RD8*20260612-20260910~
EQ*42~
EQ*30~
SE*14*000047681~
GE*1*47681~
IEA*1*000047681~