ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260601*1106*^*00501*000005284*0*P*>~
GS*HS*Gil Messick*Gil Messick*260601*1106*1487113239*X*005010X279A1~
ST*270*000005284*005010X279A1~
BHT*0022*13*000005284*2606152*1106~
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*WEST*MICHAEL****MI*11508704320~
DMG*D8*19630911*M~
DTP*291*RD8*20260601-20260830~
EQ*42~
EQ*30~
SE*14*000005284~
GE*1*5284~
IEA*1*000005284~

