ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260417*1004*^*00501*000044171*0*P*>~
GS*HS*Gil Messick*Gil Messick*260417*1004*1487113239*X*005010X279A1~
ST*270*000044171*005010X279A1~
BHT*0022*13*000044171*2604107*1004~
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*VANBUREN*ANTHONY****MI*99033175660~
DMG*D8*19660621*M~
DTP*291*RD8*20260417-20260716~
EQ*42~
EQ*30~
SE*14*000044171~
GE*1*44171~
IEA*1*000044171~

