ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260306*1103*^*00501*000041933*0*P*>~
GS*HS*Gil Messick*Gil Messick*260306*1103*1487113239*X*005010X279A1~
ST*270*000041933*005010X279A1~
BHT*0022*13*000041933*260365*1103~
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*STEVENSON*LYNDA****MI*44400541200~
DMG*D8*19670919*F~
DTP*291*RD8*20260306-20260604~
EQ*42~
EQ*30~
SE*14*000041933~
GE*1*41933~
IEA*1*000041933~

