ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260810*1208*^*00501*000049926*0*P*>~
GS*HS*Gil Messick*Gil Messick*260810*1208*1487113239*X*005010X279A1~
ST*270*000049926*005010X279A1~
BHT*0022*13*000049926*2608222*1208~
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*JOHNSON*CYNTHIA****MI*43302297800~
DMG*D8*19431221*F~
DTP*291*RD8*20260810-20261108~
EQ*42~
EQ*30~
SE*14*000049926~
GE*1*49926~
IEA*1*000049926~

