ISA*00*          *00*          *ZZ*xxxxx          *ZZ*Gil Messick    *260924*0809*^*00501*000051196*0*P*>~
GS*HS*Gil Messick*Gil Messick*260924*0809*1487113239*X*005010X279A1~
ST*270*000051196*005010X279A1~
BHT*0022*13*000051196*2609267*0809~
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*WOODS*CLARICE****MI*30325106440~
DMG*D8*19441112*F~
DTP*291*RD8*20260924-20261223~
EQ*42~
EQ*30~
SE*14*000051196~
GE*1*51196~
IEA*1*000051196~

