ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250904*1209*^*00501*000001073*0*P*>~
GS*HS*Gil Messick*Gil Messick*250904*1209*1487113239*X*005010X279A1~
ST*270*000001073*005010X279A1~
BHT*0022*13*000001073*2509247*1209~
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*HURTT*RUTH****MI*03227578520~
DMG*D8*19521008*F~
DTP*291*RD8*20250904-20251203~
EQ*42~
EQ*30~
SE*14*000001073~
GE*1*1073~
IEA*1*000001073~