ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260206*1302*^*00501*000040592*0*P*>~
GS*HS*Gil Messick*Gil Messick*260206*1302*1487113239*X*005010X279A1~
ST*270*000040592*005010X279A1~
BHT*0022*13*000040592*260237*1302~
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*MCCOY*CLEO****MI*48103960000~
DMG*D8*19640919*F~
DTP*291*RD8*20260206-20260507~
EQ*42~
EQ*30~
SE*14*000040592~
GE*1*40592~
IEA*1*000040592~