ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260312*1603*^*00501*000042317*0*P*>~
GS*HS*Gil Messick*Gil Messick*260312*1603*1487113239*X*005010X279A1~
ST*270*000042317*005010X279A1~
BHT*0022*13*000042317*260371*1603~
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*GROSS*JUNE****MI*40102761500~
DMG*D8*19661013*F~
DTP*291*RD8*20260312-20260610~
EQ*42~
EQ*30~
SE*14*000042317~
GE*1*42317~
IEA*1*000042317~

