ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250808*1008*^*00501*000030699*0*P*>~
GS*HS*Gil Messick*Gil Messick*250808*1008*1487113239*X*005010X279A1~
ST*270*000030699*005010X279A1~
BHT*0022*13*000030699*2508220*1008~
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*BECK*ANNROSE****MI*57306939500~
DMG*D8*19510108*F~
DTP*291*RD8*20250808-20251106~
EQ*42~
EQ*30~
SE*14*000030699~
GE*1*30699~
IEA*1*000030699~