ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260709*1007*^*00501*000048842*0*P*>~
GS*HS*Gil Messick*Gil Messick*260709*1007*1487113239*X*005010X279A1~
ST*270*000048842*005010X279A1~
BHT*0022*13*000048842*2607190*1007~
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*DIAZ*BRENDA****MI*43902657300~
DMG*D8*19580715*F~
DTP*291*RD8*20260709-20261007~
EQ*42~
EQ*30~
SE*14*000048842~
GE*1*48842~
IEA*1*000048842~