ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250724*1407*^*00501*000029664*0*P*>~
GS*HS*Gil Messick*Gil Messick*250724*1407*1487113239*X*005010X279A1~
ST*270*000029664*005010X279A1~
BHT*0022*13*000029664*2507205*1407~
HL*1**20*1~
NM1*PR*2*MEDICAID*****PI*2~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*GOLDERBERGER*JOY****MI*40904957200~
DMG*D8*19530407*F~
DTP*291*RD8*20250724-20251022~
EQ*42~
EQ*30~
SE*14*000029664~
GE*1*29664~
IEA*1*000029664~