ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260615*1506*^*00501*000047725*0*P*>~
GS*HS*10000*10000*260615*1506*1487113239*X*005010X279A1~
ST*270*000047725*005010X279A1~
BHT*0022*13*000047725*2606166*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*RICHARDSON*CHRISANDRA****MI*8K75FC1ED68~
DMG*D8*19531129*F~
DTP*291*RD8*20260615-20260913~
EQ*42~
EQ*30~
SE*14*000047725~
GE*1*47725~
IEA*1*000047725~

