ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260825*0808*^*00501*000050205*0*P*>~
GS*HS*10000*10000*260825*0808*1487113239*X*005010X279A1~
ST*270*000050205*005010X279A1~
BHT*0022*13*000050205*2608237*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*WATERS*SUSAN****MI*8XJ5RG3DJ73~
DMG*D8*19590630*F~
DTP*291*RD8*20260825-20261123~
EQ*42~
EQ*30~
SE*14*000050205~
GE*1*50205~
IEA*1*000050205~

