ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260211*1102*^*00501*000040873*0*P*>~
GS*HS*Gil Messick*Gil Messick*260211*1102*1487113239*X*005010X279A1~
ST*270*000040873*005010X279A1~
BHT*0022*13*000040873*260242*1102~
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*TAYLOR*JOHN****MI*41401700700~
DMG*D8*19430811*M~
DTP*291*RD8*20260211-20260512~
EQ*42~
EQ*30~
SE*14*000040873~
GE*1*40873~
IEA*1*000040873~