ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260920*1009*^*00501*000051055*0*P*>~
GS*HS*10000*10000*260920*1009*1487113239*X*005010X279A1~
ST*270*000051055*005010X279A1~
BHT*0022*13*000051055*2609263*1009~
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*KUCH*EILEEN****MI*2Q21NV7HH97~
DMG*D8*19450816*F~
DTP*291*RD8*20260920-20261219~
EQ*42~
EQ*30~
SE*14*000051055~
GE*1*51055~
IEA*1*000051055~

