ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260317*1203*^*00501*000042487*0*P*>~
GS*HS*Gil Messick*Gil Messick*260317*1203*1487113239*X*005010X279A1~
ST*270*000042487*005010X279A1~
BHT*0022*13*000042487*260376*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*GRABENSTEIN*DEBORAH****MI*487004124200~
DMG*D8*19590907*F~
DTP*291*RD8*20260317-20260615~
EQ*42~
EQ*30~
SE*14*000042487~
GE*1*42487~
IEA*1*000042487~