ISA*00*          *00*          *ZZ*15004          *ZZ*15004          *260810*1608*^*00501*000049928*0*P*>~
GS*HS*15004*15004*260810*1608*1487113239*X*005010X279A1~
ST*270*000049928*005010X279A1~
BHT*0022*13*000049928*2608222*1608~
HL*1**20*1~
NM1*PR*2*MEDICARE*****PI*10000~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*MCMILLIAN*ERNESTINE****MI*2PY9TX7KN18~
DMG*D8*20260810*F~
DTP*291*RD8*20260810-20261108~
EQ*42~
EQ*30~
SE*14*000049928~
GE*1*49928~
IEA*1*000049928~