ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260224*1102*^*00501*000041501*0*P*>~
GS*HS*Gil Messick*Gil Messick*260224*1102*1487113239*X*005010X279A1~
ST*270*000041501*005010X279A1~
BHT*0022*13*000041501*260255*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*GREEN*KIMBERLY****MI*30657967610~
DMG*D8*19611113*F~
DTP*291*RD8*20260224-20260525~
EQ*42~
EQ*30~
SE*14*000041501~
GE*1*41501~
IEA*1*000041501~