ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260922*1509*^*00501*000051141*0*P*>~
GS*HS*10000*10000*260922*1509*1487113239*X*005010X279A1~
ST*270*000051141*005010X279A1~
BHT*0022*13*000051141*2609265*1509~
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*ROBERTSON*HELEN****MI*3NA1DC1YX07~
DMG*D8*19420626*F~
DTP*291*RD8*20260922-20261221~
EQ*42~
EQ*30~
SE*14*000051141~
GE*1*51141~
IEA*1*000051141~