ISA*00*          *00*          *ZZ*.              *ZZ*Gil Messick    *260420*1204*^*00501*000044248*0*P*>~
GS*HS*Gil Messick*Gil Messick*260420*1204*1487113239*X*005010X279A1~
ST*270*000044248*005010X279A1~
BHT*0022*13*000044248*2604110*1204~
HL*1**20*1~
NM1*PR*2*BLUE CROSS BLUE SHIELD*****PI*.~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*APONICK*DONNA****MI*JKW067W23788~
DMG*D8*19680715*F~
DTP*291*RD8*20260420-20260719~
EQ*42~
EQ*30~
SE*14*000044248~
GE*1*44248~
IEA*1*000044248~