ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260716*1607*^*00501*000049207*0*P*>~
GS*HS*10000*10000*260716*1607*1487113239*X*005010X279A1~
ST*270*000049207*005010X279A1~
BHT*0022*13*000049207*2607197*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*RICE*BEULAH****MI*8D29D11DY39~
DMG*D8*19440519*M~
DTP*291*RD8*20260716-20261014~
EQ*42~
EQ*30~
SE*14*000049207~
GE*1*49207~
IEA*1*000049207~

