ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260822*0908*^*00501*000050159*0*P*>~
GS*HS*10000*10000*260822*0908*1487113239*X*005010X279A1~
ST*270*000050159*005010X279A1~
BHT*0022*13*000050159*2608234*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*GLOVER JONES*DARLENE****MI*9C93H98RM87~
DMG*D8*19570516*F~
DTP*291*RD8*20260822-20261120~
EQ*42~
EQ*30~
SE*14*000050159~
GE*1*50159~
IEA*1*000050159~