ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260724*1007*^*00501*000049360*0*P*>~
GS*HS*10000*10000*260724*1007*1487113239*X*005010X279A1~
ST*270*000049360*005010X279A1~
BHT*0022*13*000049360*2607205*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*WILLIAMS*HELENE****MI*2YV4NF2AW82~
DMG*D8*19180318*F~
DTP*291*RD8*20260724-20261022~
EQ*42~
EQ*30~
SE*14*000049360~
GE*1*49360~
IEA*1*000049360~

