ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260623*1406*^*00501*000047957*0*P*>~
GS*HS*Gil Messick*Gil Messick*260623*1406*1487113239*X*005010X279A1~
ST*270*000047957*005010X279A1~
BHT*0022*13*000047957*2606174*1406~
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*SEMENOVA*SARRA****MI*03309243420~
DMG*D8*19421228*F~
DTP*291*RD8*20260623-20260921~
EQ*42~
EQ*30~
SE*14*000047957~
GE*1*47957~
IEA*1*000047957~