ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251015*1610*^*00501*000034165*0*P*>~
GS*HS*Gil Messick*Gil Messick*251015*1610*1487113239*X*005010X279A1~
ST*270*000034165*005010X279A1~
BHT*0022*13*000034165*2510288*1610~
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*KING*GEORGE****MI*6HY4FU3CH03~
DMG*D8*19440519*M~
DTP*291*RD8*20251015-20260113~
EQ*42~
EQ*30~
SE*14*000034165~
GE*1*34165~
IEA*1*000034165~

