ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251222*1512*^*00501*000037752*0*P*>~
GS*HS*Gil Messick*Gil Messick*251222*1512*1487113239*X*005010X279A1~
ST*270*000037752*005010X279A1~
BHT*0022*13*000037752*2512356*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*GAYEVSKIY*YURIY****MI*49401334600~
DMG*D8*19370616*M~
DTP*291*RD8*20251222-20260322~
EQ*42~
EQ*30~
SE*14*000037752~
GE*1*37752~
IEA*1*000037752~

