ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260616*0706*^*00501*000047738*0*P*>~
GS*HS*10000*10000*260616*0706*1487113239*X*005010X279A1~
ST*270*000047738*005010X279A1~
BHT*0022*13*000047738*2606167*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*NELSON*LOUISE****MI*9WX0C29JX05~
DMG*D8*19540803*F~
DTP*291*RD8*20260616-20260914~
EQ*42~
EQ*30~
SE*14*000047738~
GE*1*47738~
IEA*1*000047738~

