ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260626*1606*^*00501*000048091*0*P*>~
GS*HS*Gil Messick*Gil Messick*260626*1606*1487113239*X*005010X279A1~
ST*270*000048091*005010X279A1~
BHT*0022*13*000048091*2606177*1606~
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*GENCO*JASPER****MI*46200753800~
DMG*D8*19400809*M~
DTP*291*RD8*20260626-20260924~
EQ*42~
EQ*30~
SE*14*000048091~
GE*1*48091~
IEA*1*000048091~

