ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260707*1307*^*00501*000037782*0*P*>~
GS*HS*10000*10000*260707*1307*1487113239*X*005010X279A1~
ST*270*000037782*005010X279A1~
BHT*0022*13*000037782*2607188*1307~
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*PEYTON*EVELYN****MI*6RW5V27UQ78~
DMG*D8*19471014*F~
DTP*291*RD8*20260707-20261005~
EQ*42~
EQ*30~
SE*14*000037782~
GE*1*37782~
IEA*1*000037782~