ISA*00*          *00*          *ZZ*.              *ZZ*Gil Messick    *260604*1506*^*00501*000044367*0*P*>~
GS*HS*Gil Messick*Gil Messick*260604*1506*1487113239*X*005010X279A1~
ST*270*000044367*005010X279A1~
BHT*0022*13*000044367*2606155*1506~
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*BRAGGS*LOUISE****MI*DNP930520002~
DMG*D8*19420513*F~
DTP*291*RD8*20260604-20260902~
EQ*42~
EQ*30~
SE*14*000044367~
GE*1*44367~
IEA*1*000044367~

