ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260901*1609*^*00501*000050339*0*P*>~
GS*HS*Gil Messick*Gil Messick*260901*1609*1487113239*X*005010X279A1~
ST*270*000050339*005010X279A1~
BHT*0022*13*000050339*2609244*1609~
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*ROBERTS*WILLIAM****MI*48901575100~
DMG*D8*19520930*M~
DTP*291*RD8*20260901-20261130~
EQ*42~
EQ*30~
SE*14*000050339~
GE*1*50339~
IEA*1*000050339~

