ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260821*1608*^*00501*000050154*0*P*>~
GS*HS*10000*10000*260821*1608*1487113239*X*005010X279A1~
ST*270*000050154*005010X279A1~
BHT*0022*13*000050154*2608233*1608~
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*PEREZ RAMIREZ*LEROY****MI*5FA5H83YY88~
DMG*D8*19450407*M~
DTP*291*RD8*20260821-20261119~
EQ*42~
EQ*30~
SE*14*000050154~
GE*1*50154~
IEA*1*000050154~

