ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250911*1209*^*00501*000032342*0*P*>~
GS*HS*Gil Messick*Gil Messick*250911*1209*1487113239*X*005010X279A1~
ST*270*000032342*005010X279A1~
BHT*0022*13*000032342*2509254*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*SIMMONS*ROSE****MI*30354679500~
DMG*D8*19500607*F~
DTP*291*RD8*20250911-20251210~
EQ*42~
EQ*30~
SE*14*000032342~
GE*1*32342~
IEA*1*000032342~

