ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250918*1609*^*00501*000032614*0*P*>~
GS*HS*Gil Messick*Gil Messick*250918*1609*1487113239*X*005010X279A1~
ST*270*000032614*005010X279A1~
BHT*0022*13*000032614*2509261*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*HENDRICKS*CELESTE****MI*46902076300~
DMG*D8*19430801*F~
DTP*291*RD8*20250918-20251217~
EQ*42~
EQ*30~
SE*14*000032614~
GE*1*32614~
IEA*1*000032614~

