ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260721*0907*^*00501*000049284*0*P*>~
GS*HS*10000*10000*260721*0907*1487113239*X*005010X279A1~
ST*270*000049284*005010X279A1~
BHT*0022*13*000049284*2607202*0907~
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*CLIFTON*WILLIAM****MI*7WG4VU7XE07~
DMG*D8*19560505*F~
DTP*291*RD8*20260721-20261019~
EQ*42~
EQ*30~
SE*14*000049284~
GE*1*49284~
IEA*1*000049284~