ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260409*1304*^*00501*000043924*0*P*>~
GS*HS*Gil Messick*Gil Messick*260409*1304*1487113239*X*005010X279A1~
ST*270*000043924*005010X279A1~
BHT*0022*13*000043924*260499*1304~
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*JEFFRIES*JANNETTE****MI*30792921590~
DMG*D8*19600331*F~
DTP*291*RD8*20260409-20260708~
EQ*42~
EQ*30~
SE*14*000043924~
GE*1*43924~
IEA*1*000043924~

