ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260826*1508*^*00501*000050258*0*P*>~
GS*HS*Gil Messick*Gil Messick*260826*1508*1487113239*X*005010X279A1~
ST*270*000050258*005010X279A1~
BHT*0022*13*000050258*2608238*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*RAMOS*JUANITA****MI*46605321200~
DMG*D8*19391023*F~
DTP*291*RD8*20260826-20261124~
EQ*42~
EQ*30~
SE*14*000050258~
GE*1*50258~
IEA*1*000050258~

