ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260407*1004*^*00501*000043369*0*P*>~
GS*HS*Gil Messick*Gil Messick*260407*1004*1487113239*X*005010X279A1~
ST*270*000043369*005010X279A1~
BHT*0022*13*000043369*260497*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*WASHINGTON*STEPHANIE****MI*48902272200~
DMG*D8*19660116*F~
DTP*291*RD8*20260407-20260706~
EQ*42~
EQ*30~
SE*14*000043369~
GE*1*43369~
IEA*1*000043369~

