ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251029*1310*^*00501*000034712*0*P*>~
GS*HS*Gil Messick*Gil Messick*251029*1310*1487113239*X*005010X279A1~
ST*270*000034712*005010X279A1~
BHT*0022*13*000034712*2510302*1310~
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*CLENDENIN*TANISHA****MI*52606698800~
DMG*D8*19800614*F~
DTP*291*RD8*20251029-20260127~
EQ*42~
EQ*30~
SE*14*000034712~
GE*1*34712~
IEA*1*000034712~

