ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251120*1111*^*00501*000036160*0*P*>~
GS*HS*Gil Messick*Gil Messick*251120*1111*1487113239*X*005010X279A1~
ST*270*000036160*005010X279A1~
BHT*0022*13*000036160*2511324*1111~
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*SHERROD*TOWANDA****MI*03295146000~
DMG*D8*19580905*F~
DTP*291*RD8*20251120-20260218~
EQ*42~
EQ*30~
SE*14*000036160~
GE*1*36160~
IEA*1*000036160~

