ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260903*0909*^*00501*000050378*0*P*>~
GS*HS*10000*10000*260903*0909*1487113239*X*005010X279A1~
ST*270*000050378*005010X279A1~
BHT*0022*13*000050378*2609246*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*EVANS*TIMOTHY****MI*9RA9AM9NM30~
DMG*D8*19550221*M~
DTP*291*RD8*20260903-20261202~
EQ*42~
EQ*30~
SE*14*000050378~
GE*1*50378~
IEA*1*000050378~