ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251120*0811*^*00501*000036143*0*P*>~
GS*HS*Gil Messick*Gil Messick*251120*0811*1487113239*X*005010X279A1~
ST*270*000036143*005010X279A1~
BHT*0022*13*000036143*2511324*0811~
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*HASKINS*GREGORY****MI*44401910400~
DMG*D8*19520626*M~
DTP*291*RD8*20251120-20260218~
EQ*42~
EQ*30~
SE*14*000036143~
GE*1*36143~
IEA*1*000036143~

