ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260814*0808*^*00501*000050009*0*P*>~
GS*HS*10000*10000*260814*0808*1487113239*X*005010X279A1~
ST*270*000050009*005010X279A1~
BHT*0022*13*000050009*2608226*0808~
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*ALESIN*SIMON****MI*4TP7W07AH75~
DMG*D8*19370402*M~
DTP*291*RD8*20260814-20261112~
EQ*42~
EQ*30~
SE*14*000050009~
GE*1*50009~
IEA*1*000050009~