ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *250903*1209*^*00501*000031614*0*P*>~
GS*HS*SKMD0*SKMD0*250903*1209*1487113239*X*005010X279A1~
ST*270*000031614*005010X279A1~
BHT*0022*13*000031614*2509246*1209~
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*CARR*AUDREY****MI*40304355300~
DMG*D8*19380813*F~
DTP*291*RD8*20250903-20251202~
EQ*42~
EQ*30~
SE*14*000031614~
GE*1*31614~
IEA*1*000031614~