ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260622*1506*^*00501*000047924*0*P*>~
GS*HS*10000*10000*260622*1506*1487113239*X*005010X279A1~
ST*270*000047924*005010X279A1~
BHT*0022*13*000047924*2606173*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*SIMON*ROGER****MI*6TA8Y32FA38~
DMG*D8*20260622*M~
DTP*291*RD8*20260622-20260920~
EQ*42~
EQ*30~
SE*14*000047924~
GE*1*47924~
IEA*1*000047924~

