ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251105*0911*^*00501*000034962*0*P*>~
GS*HS*Gil Messick*Gil Messick*251105*0911*1487113239*X*005010X279A1~
ST*270*000034962*005010X279A1~
BHT*0022*13*000034962*2511309*0911~
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*PLUMMER*GARY****MI*49301258100~
DMG*D8*19590612*M~
DTP*291*RD8*20251105-20260203~
EQ*42~
EQ*30~
SE*14*000034962~
GE*1*34962~
IEA*1*000034962~

