ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260902*0909*^*00501*000050354*0*P*>~
GS*HS*10000*10000*260902*0909*1487113239*X*005010X279A1~
ST*270*000050354*005010X279A1~
BHT*0022*13*000050354*2609245*0909~
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*WYLIE*EVETTE****MI*7UE0M27AF36~
DMG*D8*19521111*F~
DTP*291*RD8*20260902-20261201~
EQ*42~
EQ*30~
SE*14*000050354~
GE*1*50354~
IEA*1*000050354~

