ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251020*1510*^*00501*000034320*0*P*>~
GS*HS*Gil Messick*Gil Messick*251020*1510*1487113239*X*005010X279A1~
ST*270*000034320*005010X279A1~
BHT*0022*13*000034320*2510293*1510~
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*HUNT*NICK****MI*48501731200~
DMG*D8*19460206*M~
DTP*291*RD8*20251020-20260118~
EQ*42~
EQ*30~
SE*14*000034320~
GE*1*34320~
IEA*1*000034320~

