ISA*00*          *00*          *ZZ*.              *ZZ*Gil Messick    *260720*1707*^*00501*000049277*0*P*>~
GS*HS*Gil Messick*Gil Messick*260720*1707*1487113239*X*005010X279A1~
ST*270*000049277*005010X279A1~
BHT*0022*13*000049277*2607201*1707~
HL*1**20*1~
NM1*PR*2*BLUE CROSS BLUE SHIELD*****PI*.~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*CONAWAY*CLEMMEROSE****MI*XIC905425690~
DMG*D8*19350618*F~
DTP*291*RD8*20260720-20261018~
EQ*42~
EQ*30~
SE*14*000049277~
GE*1*49277~
IEA*1*000049277~

