ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260709*1307*^*00501*000048832*0*P*>~
GS*HS*10000*10000*260709*1307*1487113239*X*005010X279A1~
ST*270*000048832*005010X279A1~
BHT*0022*13*000048832*2607190*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*FLETCHER-LANGLEY*TYWANIA****MI*8QW0GG1HD08~
DMG*D8*19600123*F~
DTP*291*RD8*20260709-20261007~
EQ*42~
EQ*30~
SE*14*000048832~
GE*1*48832~
IEA*1*000048832~

