ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260707*1307*^*00501*000005939*0*P*>~
GS*HS*Gil Messick*Gil Messick*260707*1307*1487113239*X*005010X279A1~
ST*270*000005939*005010X279A1~
BHT*0022*13*000005939*2607188*1307~
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*ROSEBOROUGH*MELISSA****MI*47603316200~
DMG*D8*19860703*F~
DTP*291*RD8*20260707-20261005~
EQ*42~
EQ*30~
SE*14*000005939~
GE*1*5939~
IEA*1*000005939~

