ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260826*1408*^*00501*000050254*0*P*>~
GS*HS*10000*10000*260826*1408*1487113239*X*005010X279A1~
ST*270*000050254*005010X279A1~
BHT*0022*13*000050254*2608238*1408~
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*WELLS*JIMMIE****MI*7WJ8F73FH52~
DMG*D8*19510714*M~
DTP*291*RD8*20260826-20261124~
EQ*42~
EQ*30~
SE*14*000050254~
GE*1*50254~
IEA*1*000050254~