ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260501*0805*^*00501*000044706*0*P*>~
GS*HS*Gil Messick*Gil Messick*260501*0805*1487113239*X*005010X279A1~
ST*270*000044706*005010X279A1~
BHT*0022*13*000044706*2605121*0805~
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*FELDMAN*SIMA****MI*43101267800~
DMG*D8*19390913*F~
DTP*291*RD8*20260501-20260730~
EQ*42~
EQ*30~
SE*14*000044706~
GE*1*44706~
IEA*1*000044706~

