ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260115*1501*^*00501*000001506*0*P*>~
GS*HS*Gil Messick*Gil Messick*260115*1501*1487113239*X*005010X279A1~
ST*270*000001506*005010X279A1~
BHT*0022*13*000001506*260115*1501~
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*KOLTUNOVA*ALLA****MI*42501634300~
DMG*D8*19350508*F~
DTP*291*RD8*20260115-20260415~
EQ*42~
EQ*30~
SE*14*000001506~
GE*1*1506~
IEA*1*000001506~