ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251103*1211*^*00501*000034883*0*P*>~
GS*HS*Gil Messick*Gil Messick*251103*1211*1487113239*X*005010X279A1~
ST*270*000034883*005010X279A1~
BHT*0022*13*000034883*2511307*1211~
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*GOLTSMAN*LEONID****MI*30904834490~
DMG*D8*19391103*M~
DTP*291*RD8*20251103-20260201~
EQ*42~
EQ*30~
SE*14*000034883~
GE*1*34883~
IEA*1*000034883~