ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250818*1108*^*00501*000001346*0*P*>~
GS*HS*Gil Messick*Gil Messick*250818*1108*1487113239*X*005010X279A1~
ST*270*000001346*005010X279A1~
BHT*0022*13*000001346*2508230*1108~
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*KAKIRA*CLAUDE****MI*49605878600~
DMG*D8*19960101*M~
DTP*291*RD8*20250818-20251116~
EQ*42~
EQ*30~
SE*14*000001346~
GE*1*1346~
IEA*1*000001346~

