ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251016*0910*^*00501*000034171*0*P*>~
GS*HS*Gil Messick*Gil Messick*251016*0910*1487113239*X*005010X279A1~
ST*270*000034171*005010X279A1~
BHT*0022*13*000034171*2510289*0910~
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*PARKE*DAVID****MI*30858276800~
DMG*D8*19801010*M~
DTP*291*RD8*20251016-20260114~
EQ*42~
EQ*30~
SE*14*000034171~
GE*1*34171~
IEA*1*000034171~

