ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260709*1607*^*00501*000044534*0*P*>~
GS*HS*10000*10000*260709*1607*1487113239*X*005010X279A1~
ST*270*000044534*005010X279A1~
BHT*0022*13*000044534*2607190*1607~
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*SMITHERS*SHIRLEY****MI*8EP8RJ8NX28~
DMG*D8*19430511*F~
DTP*291*RD8*20260709-20261007~
EQ*42~
EQ*30~
SE*14*000044534~
GE*1*44534~
IEA*1*000044534~

