ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251115*1211*^*00501*000035970*0*P*>~
GS*HS*Gil Messick*Gil Messick*251115*1211*1487113239*X*005010X279A1~
ST*270*000035970*005010X279A1~
BHT*0022*13*000035970*2511319*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*JONES*PAMELA****MI*30546010650~
DMG*D8*19650929*F~
DTP*291*RD8*20251115-20260213~
EQ*42~
EQ*30~
SE*14*000035970~
GE*1*35970~
IEA*1*000035970~

