ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260715*1007*^*00501*000049136*0*P*>~
GS*HS*10000*10000*260715*1007*1487113239*X*005010X279A1~
ST*270*000049136*005010X279A1~
BHT*0022*13*000049136*2607196*1007~
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*LYLE*TONY****MI*5Y12HG0JR03~
DMG*D8*19560830*M~
DTP*291*RD8*20260715-20261013~
EQ*42~
EQ*30~
SE*14*000049136~
GE*1*49136~
IEA*1*000049136~

