ISA*00*          *00*          *ZZ*10000          *ZZ*10000          *260925*1409*^*00501*000051216*0*P*>~
GS*HS*10000*10000*260925*1409*1487113239*X*005010X279A1~
ST*270*000051216*005010X279A1~
BHT*0022*13*000051216*2609268*1409~
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*BLACK*JAMES****MI*8H29Y23EF35~
DMG*D8*19550818*M~
DTP*291*RD8*20260925-20261224~
EQ*42~
EQ*30~
SE*14*000051216~
GE*1*51216~
IEA*1*000051216~

