ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260306*1203*^*00501*000041935*0*P*>~
GS*HS*Gil Messick*Gil Messick*260306*1203*1487113239*X*005010X279A1~
ST*270*000041935*005010X279A1~
BHT*0022*13*000041935*260365*1203~
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*HEYROVSKA*RAJALAKSHMI****MI*47206090100~
DMG*D8*19370726*F~
DTP*291*RD8*20260306-20260604~
EQ*42~
EQ*30~
SE*14*000041935~
GE*1*41935~
IEA*1*000041935~

