ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260106*1701*^*00501*000037806*0*P*>~
GS*HS*Gil Messick*Gil Messick*260106*1701*1487113239*X*005010X279A1~
ST*270*000037806*005010X279A1~
BHT*0022*13*000037806*260106*1701~
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*CARTER*TARA****MI*43901392500~
DMG*D8*19770207*F~
DTP*291*RD8*20260106-20260406~
EQ*42~
EQ*30~
SE*14*000037806~
GE*1*37806~
IEA*1*000037806~