ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260505*1705*^*00501*000027471*0*P*>~
GS*HS*Gil Messick*Gil Messick*260505*1705*1487113239*X*005010X279A1~
ST*270*000027471*005010X279A1~
BHT*0022*13*000027471*2605125*1705~
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*YI*O NAM****MI*43101933900~
DMG*D8*19360102*F~
DTP*291*RD8*20260505-20260803~
EQ*42~
EQ*30~
SE*14*000027471~
GE*1*27471~
IEA*1*000027471~

