ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260923*1609*^*00501*000051191*0*P*>~
GS*HS*10000*10000*260923*1609*1487113239*X*005010X279A1~
ST*270*000051191*005010X279A1~
BHT*0022*13*000051191*2609266*1609~
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*CILYK*MICHAEL****MI*5UD7V74WJ50~
DMG*D8*20260923*M~
DTP*291*RD8*20260923-20261222~
EQ*42~
EQ*30~
SE*14*000051191~
GE*1*51191~
IEA*1*000051191~

