ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *250807*1108*^*00501*000030426*0*P*>~
GS*HS*SKMD0*SKMD0*250807*1108*1487113239*X*005010X279A1~
ST*270*000030426*005010X279A1~
BHT*0022*13*000030426*2508219*1108~
HL*1**20*1~
NM1*PR*2*MARYLAND MEDICAID*****PI*10448~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*CONNELLY*RICHARD****MI*40801697700~
DMG*D8*19800214*M~
DTP*291*RD8*20250807-20251105~
EQ*42~
EQ*30~
SE*14*000030426~
GE*1*30426~
IEA*1*000030426~