ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260625*1506*^*00501*000048053*0*P*>~
GS*HS*10000*10000*260625*1506*1487113239*X*005010X279A1~
ST*270*000048053*005010X279A1~
BHT*0022*13*000048053*2606176*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*LEVINSON*CHISTINA****MI*2HW6Q88GD58~
DMG*D8*19580129*F~
DTP*291*RD8*20260625-20260923~
EQ*42~
EQ*30~
SE*14*000048053~
GE*1*48053~
IEA*1*000048053~

