ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260910*0909*^*00501*000050569*0*P*>~
GS*HS*10000*10000*260910*0909*1487113239*X*005010X279A1~
ST*270*000050569*005010X279A1~
BHT*0022*13*000050569*2609253*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*BEVERLY*CLINTON****MI*8WR7WH2KV57~
DMG*D8*19630829*M~
DTP*291*RD8*20260910-20261209~
EQ*42~
EQ*30~
SE*14*000050569~
GE*1*50569~
IEA*1*000050569~

