ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260825*1508*^*00501*000050223*0*P*>~
GS*HS*Gil Messick*Gil Messick*260825*1508*1487113239*X*005010X279A1~
ST*270*000050223*005010X279A1~
BHT*0022*13*000050223*2608237*1508~
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*WLADKOWSKI*EDWARD****MI*44400764000~
DMG*D8*19641119*M~
DTP*291*RD8*20260825-20261123~
EQ*42~
EQ*30~
SE*14*000050223~
GE*1*50223~
IEA*1*000050223~

