ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250924*1209*^*00501*000032827*0*P*>~
GS*HS*Gil Messick*Gil Messick*250924*1209*1487113239*X*005010X279A1~
ST*270*000032827*005010X279A1~
BHT*0022*13*000032827*2509267*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*MATTIAS*STEVEN****MI*44501995200~
DMG*D8*19550214*M~
DTP*291*RD8*20250924-20251223~
EQ*42~
EQ*30~
SE*14*000032827~
GE*1*32827~
IEA*1*000032827~

