ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251212*1112*^*00501*000037464*0*P*>~
GS*HS*Gil Messick*Gil Messick*251212*1112*1487113239*X*005010X279A1~
ST*270*000037464*005010X279A1~
BHT*0022*13*000037464*2512346*1112~
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*ROBISON*RICHARD****MI*47102520200~
DMG*D8*19580430*M~
DTP*291*RD8*20251212-20260312~
EQ*42~
EQ*30~
SE*14*000037464~
GE*1*37464~
IEA*1*000037464~