ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260807*0908*^*00501*000049890*0*P*>~
GS*HS*10000*10000*260807*0908*1487113239*X*005010X279A1~
ST*270*000049890*005010X279A1~
BHT*0022*13*000049890*2608219*0908~
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*GAHAGAN*CHRISTA****MI*6TN1V95FN38~
DMG*D8*19580705*F~
DTP*291*RD8*20260807-20261105~
EQ*42~
EQ*30~
SE*14*000049890~
GE*1*49890~
IEA*1*000049890~

