ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250725*1607*^*00501*000029750*0*P*>~
GS*HS*Gil Messick*Gil Messick*250725*1607*1487113239*X*005010X279A1~
ST*270*000029750*005010X279A1~
BHT*0022*13*000029750*2507206*1607~
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*TESLER*ZHANNA****MI*03251974340~
DMG*D8*19340207*F~
DTP*291*RD8*20250725-20251023~
EQ*42~
EQ*30~
SE*14*000029750~
GE*1*29750~
IEA*1*000029750~

