ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260428*1404*^*00501*000000000*0*P*>~
GS*HS*Gil Messick*Gil Messick*260428*1404*1487113239*X*005010X279A1~
ST*270*000000000*005010X279A1~
BHT*0022*13*000000000*2604118*1404~
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*BRIDGLAL*IVAN****MI*49603327800~
DMG*D8*19410917*F~
DTP*291*RD8*20260428-20260727~
EQ*42~
EQ*30~
SE*14*000000000~
GE*1*~
IEA*1*000000000~

