ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251111*1611*^*00501*000035492*0*P*>~
GS*HS*Gil Messick*Gil Messick*251111*1611*1487113239*X*005010X279A1~
ST*270*000035492*005010X279A1~
BHT*0022*13*000035492*2511315*1611~
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*BELLE*DEBORAH****MI*46303986100~
DMG*D8*19621003*F~
DTP*291*RD8*20251111-20260209~
EQ*42~
EQ*30~
SE*14*000035492~
GE*1*35492~
IEA*1*000035492~

