ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260709*0907*^*00501*000048835*0*P*>~
GS*HS*10000*10000*260709*0907*1487113239*X*005010X279A1~
ST*270*000048835*005010X279A1~
BHT*0022*13*000048835*2607190*0907~
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*BROWN*DAVID****MI*1RC4UX0MD72~
DMG*D8*19630306*M~
DTP*291*RD8*20260709-20261007~
EQ*42~
EQ*30~
SE*14*000048835~
GE*1*48835~
IEA*1*000048835~

