ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260707*1507*^*00501*000042861*0*P*>~
GS*HS*10000*10000*260707*1507*1487113239*X*005010X279A1~
ST*270*000042861*005010X279A1~
BHT*0022*13*000042861*2607188*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*BYDUME*NARESA****MI*4J10P16RV46~
DMG*D8*19571014*F~
DTP*291*RD8*20260707-20261005~
EQ*42~
EQ*30~
SE*14*000042861~
GE*1*42861~
IEA*1*000042861~

