ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260624*0806*^*00501*000047984*0*P*>~
GS*HS*Gil Messick*Gil Messick*260624*0806*1487113239*X*005010X279A1~
ST*270*000047984*005010X279A1~
BHT*0022*13*000047984*2606175*0806~
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*BHATTARAI*MANJU****MI*11473944210~
DMG*D8*19610111*F~
DTP*291*RD8*20260624-20260922~
EQ*42~
EQ*30~
SE*14*000047984~
GE*1*47984~
IEA*1*000047984~

