ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260710*1507*^*00501*000048285*0*P*>~
GS*HS*10000*10000*260710*1507*1487113239*X*005010X279A1~
ST*270*000048285*005010X279A1~
BHT*0022*13*000048285*2607191*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*HOFFMAN*KATHERINE****MI*5Y05PX6TV55~
DMG*D8*19610221*F~
DTP*291*RD8*20260710-20261008~
EQ*42~
EQ*30~
SE*14*000048285~
GE*1*48285~
IEA*1*000048285~

