ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251207*1612*^*00501*000037076*0*P*>~
GS*HS*Gil Messick*Gil Messick*251207*1612*1487113239*X*005010X279A1~
ST*270*000037076*005010X279A1~
BHT*0022*13*000037076*2512341*1612~
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*WHITTLE*CHRISTINE****MI*46100799000~
DMG*D8*19830613*F~
DTP*291*RD8*20251207-20260307~
EQ*42~
EQ*30~
SE*14*000037076~
GE*1*37076~
IEA*1*000037076~

