ISA*00*          *00*          *ZZ*.              *ZZ*Gil Messick    *260506*1205*^*00501*000041278*0*P*>~
GS*HS*Gil Messick*Gil Messick*260506*1205*1487113239*X*005010X279A1~
ST*270*000041278*005010X279A1~
BHT*0022*13*000041278*2605126*1205~
HL*1**20*1~
NM1*PR*2*BLUE CROSS BLUE SHIELD*****PI*.~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*CONAWAY*CLEMMEROSE****MI*XIC905425690~
DMG*D8*19350618*F~
DTP*291*RD8*20260506-20260804~
EQ*42~
EQ*30~
SE*14*000041278~
GE*1*41278~
IEA*1*000041278~