ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260323*1003*^*00501*000042677*0*P*>~
GS*HS*Gil Messick*Gil Messick*260323*1003*1487113239*X*005010X279A1~
ST*270*000042677*005010X279A1~
BHT*0022*13*000042677*260382*1003~
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*LEE*JUDITH****MI*45105353500~
DMG*D8*19451030*F~
DTP*291*RD8*20260323-20260621~
EQ*42~
EQ*30~
SE*14*000042677~
GE*1*42677~
IEA*1*000042677~

