ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251007*1410*^*00501*000033518*0*P*>~
GS*HS*Gil Messick*Gil Messick*251007*1410*1487113239*X*005010X279A1~
ST*270*000033518*005010X279A1~
BHT*0022*13*000033518*2510280*1410~
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*MCDONALD*RICHARD****MI*48295389100~
DMG*D8*19670102*M~
DTP*291*RD8*20251007-20260105~
EQ*42~
EQ*30~
SE*14*000033518~
GE*1*33518~
IEA*1*000033518~

