ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260212*1202*^*00501*000040925*0*P*>~
GS*HS*Gil Messick*Gil Messick*260212*1202*1487113239*X*005010X279A1~
ST*270*000040925*005010X279A1~
BHT*0022*13*000040925*260243*1202~
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*ROBINSON*WILLIE****MI*11396924360~
DMG*D8*19580717*M~
DTP*291*RD8*20260212-20260513~
EQ*42~
EQ*30~
SE*14*000040925~
GE*1*40925~
IEA*1*000040925~

