ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *250930*1109*^*00501*000033022*0*P*>~
GS*HS*Gil Messick*Gil Messick*250930*1109*1487113239*X*005010X279A1~
ST*270*000033022*005010X279A1~
BHT*0022*13*000033022*2509273*1109~
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*GRIFFIN*DOROTHY****MI*30393690530~
DMG*D8*19530617*M~
DTP*291*RD8*20250930-20251229~
EQ*42~
EQ*30~
SE*14*000033022~
GE*1*33022~
IEA*1*000033022~

