ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251220*1512*^*00501*000037656*0*P*>~
GS*HS*Gil Messick*Gil Messick*251220*1512*1487113239*X*005010X279A1~
ST*270*000037656*005010X279A1~
BHT*0022*13*000037656*2512354*1512~
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*TAYLOR*RHONDA****MI*30752666650~
DMG*D8*19650919*M~
DTP*291*RD8*20251220-20260320~
EQ*42~
EQ*30~
SE*14*000037656~
GE*1*37656~
IEA*1*000037656~

