ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251124*1011*^*00501*000036275*0*P*>~
GS*HS*Gil Messick*Gil Messick*251124*1011*1487113239*X*005010X279A1~
ST*270*000036275*005010X279A1~
BHT*0022*13*000036275*2511328*1011~
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*PHARR*LARRY****MI*41205406500~
DMG*D8*19570830*M~
DTP*291*RD8*20251124-20260222~
EQ*42~
EQ*30~
SE*14*000036275~
GE*1*36275~
IEA*1*000036275~

