ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260515*1505*^*00501*000045968*0*P*>~
GS*HS*Gil Messick*Gil Messick*260515*1505*1487113239*X*005010X279A1~
ST*270*000045968*005010X279A1~
BHT*0022*13*000045968*2605135*1505~
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*TILLMAN*ANNETTE****MI*48701467100~
DMG*D8*19610507*F~
DTP*291*RD8*20260515-20260813~
EQ*42~
EQ*30~
SE*14*000045968~
GE*1*45968~
IEA*1*000045968~

