ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260103*0101*^*00501*000036436*0*P*>~
GS*HS*Gil Messick*Gil Messick*260103*0101*1487113239*X*005010X279A1~
ST*270*000036436*005010X279A1~
BHT*0022*13*000036436*260103*0101~
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*VOLAND*THERESA****MI*30590222570~
DMG*D8*19570710*F~
DTP*291*RD8*20260103-20260403~
EQ*42~
EQ*30~
SE*14*000036436~
GE*1*36436~
IEA*1*000036436~

