ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250903*1509*^*00501*000031648*0*P*>~
GS*HS*Gil Messick*Gil Messick*250903*1509*1487113239*X*005010X279A1~
ST*270*000031648*005010X279A1~
BHT*0022*13*000031648*2509246*1509~
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*PENN*CAROLYN****MI*02120363530~
DMG*D8*19530826*F~
DTP*291*RD8*20250903-20251202~
EQ*42~
EQ*30~
SE*14*000031648~
GE*1*31648~
IEA*1*000031648~