ISA*00*          *00*          *ZZ*.              *ZZ*Gil Messick    *260914*1109*^*00501*000050879*0*P*>~
GS*HS*Gil Messick*Gil Messick*260914*1109*1487113239*X*005010X279A1~
ST*270*000050879*005010X279A1~
BHT*0022*13*000050879*2609257*1109~
HL*1**20*1~
NM1*PR*2*BLUE CROSS BLUE SHIELD*****PI*.~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*COMMODORE*GERALD****MI*MXJ930693232~
DMG*D8*19501019*M~
DTP*291*RD8*20260914-20261213~
EQ*42~
EQ*30~
SE*14*000050879~
GE*1*50879~
IEA*1*000050879~

