ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260311*1103*^*00501*000042257*0*P*>~
GS*HS*Gil Messick*Gil Messick*260311*1103*1487113239*X*005010X279A1~
ST*270*000042257*005010X279A1~
BHT*0022*13*000042257*260370*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*GREENE*PHYLLIS****MI*30752548650~
DMG*D8*19650319*F~
DTP*291*RD8*20260311-20260609~
EQ*42~
EQ*30~
SE*14*000042257~
GE*1*42257~
IEA*1*000042257~