ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260303*1503*^*00501*000029116*0*P*>~
GS*HS*Gil Messick*Gil Messick*260303*1503*1487113239*X*005010X279A1~
ST*270*000029116*005010X279A1~
BHT*0022*13*000029116*260362*1503~
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*HELLMAN*ANNA****MI*48506042600~
DMG*D8*19520417*F~
DTP*291*RD8*20260303-20260601~
EQ*42~
EQ*30~
SE*14*000029116~
GE*1*29116~
IEA*1*000029116~

