ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260107*1101*^*00501*000038760*0*P*>~
GS*HS*Gil Messick*Gil Messick*260107*1101*1487113239*X*005010X279A1~
ST*270*000038760*005010X279A1~
BHT*0022*13*000038760*260107*1101~
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*COOPWOOD*CHERYL****MI*30748540570~
DMG*D8*19570407*F~
DTP*291*RD8*20260107-20260407~
EQ*42~
EQ*30~
SE*14*000038760~
GE*1*38760~
IEA*1*000038760~