ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260227*1302*^*00501*000041638*0*P*>~
GS*HS*Gil Messick*Gil Messick*260227*1302*1487113239*X*005010X279A1~
ST*270*000041638*005010X279A1~
BHT*0022*13*000041638*260258*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*SAMUELS*GLORIA****MI*03159427008~
DMG*D8*19570702*F~
DTP*291*RD8*20260227-20260528~
EQ*42~
EQ*30~
SE*14*000041638~
GE*1*41638~
IEA*1*000041638~

