ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260917*0909*^*00501*000051004*0*P*>~
GS*HS*10000*10000*260917*0909*1487113239*X*005010X279A1~
ST*270*000051004*005010X279A1~
BHT*0022*13*000051004*2609260*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*PAVE*DIANNA****MI*6PH2AJ2NF99~
DMG*D8*19480928*F~
DTP*291*RD8*20260917-20261216~
EQ*42~
EQ*30~
SE*14*000051004~
GE*1*51004~
IEA*1*000051004~