ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *251230*1712*^*00501*000037915*0*P*>~
GS*HS*Gil Messick*Gil Messick*251230*1712*1487113239*X*005010X279A1~
ST*270*000037915*005010X279A1~
BHT*0022*13*000037915*2512364*1712~
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*DANIELS*GRACE****MI*30571160590~
DMG*D8*19591223*F~
DTP*291*RD8*20251230-20260330~
EQ*42~
EQ*30~
SE*14*000037915~
GE*1*37915~
IEA*1*000037915~

