ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260917*0909*^*00501*000051003*0*P*>~
GS*HS*Gil Messick*Gil Messick*260917*0909*1487113239*X*005010X279A1~
ST*270*000051003*005010X279A1~
BHT*0022*13*000051003*2609260*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*COLE*TRAYVON****MI*30875564930~
DMG*D8*19930408*M~
DTP*291*RD8*20260917-20261216~
EQ*42~
EQ*30~
SE*14*000051003~
GE*1*51003~
IEA*1*000051003~

