ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260903*0909*^*00501*000050379*0*P*>~
GS*HS*Gil Messick*Gil Messick*260903*0909*1487113239*X*005010X279A1~
ST*270*000050379*005010X279A1~
BHT*0022*13*000050379*2609246*0909~
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*EVANS*TIMOTHY****MI*42302047200~
DMG*D8*19550221*M~
DTP*291*RD8*20260903-20261202~
EQ*42~
EQ*30~
SE*14*000050379~
GE*1*50379~
IEA*1*000050379~

