ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250909*1609*^*00501*000032259*0*P*>~
GS*HS*Gil Messick*Gil Messick*250909*1609*1487113239*X*005010X279A1~
ST*270*000032259*005010X279A1~
BHT*0022*13*000032259*2509252*1609~
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*ADAMS*JACOB****MI*46301580200~
DMG*D8*19521019*M~
DTP*291*RD8*20250909-20251208~
EQ*42~
EQ*30~
SE*14*000032259~
GE*1*32259~
IEA*1*000032259~