ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260721*0807*^*00501*000049281*0*P*>~
GS*HS*10000*10000*260721*0807*1487113239*X*005010X279A1~
ST*270*000049281*005010X279A1~
BHT*0022*13*000049281*2607202*0807~
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*BAECHTEL*MARY****MI*8JX8T31XP50~
DMG*D8*19580629*F~
DTP*291*RD8*20260721-20261019~
EQ*42~
EQ*30~
SE*14*000049281~
GE*1*49281~
IEA*1*000049281~

