ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260702*1507*^*00501*000048233*0*P*>~
GS*HS*10000*10000*260702*1507*1487113239*X*005010X279A1~
ST*270*000048233*005010X279A1~
BHT*0022*13*000048233*2607183*1507~
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*RICE*ROBERT****MI*6KM4J64MJ75~
DMG*D8*19351001*M~
DTP*291*RD8*20260702-20260930~
EQ*42~
EQ*30~
SE*14*000048233~
GE*1*48233~
IEA*1*000048233~

