ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260316*1103*^*00501*000042423*0*P*>~
GS*HS*Gil Messick*Gil Messick*260316*1103*1487113239*X*005010X279A1~
ST*270*000042423*005010X279A1~
BHT*0022*13*000042423*260375*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*ELLIS*CARYL****MI*30450701500~
DMG*D8*19501105*M~
DTP*291*RD8*20260316-20260614~
EQ*42~
EQ*30~
SE*14*000042423~
GE*1*42423~
IEA*1*000042423~