ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260115*1601*^*00501*000039066*0*P*>~
GS*HS*SKMD0*SKMD0*260115*1601*1487113239*X*005010X279A1~
ST*270*000039066*005010X279A1~
BHT*0022*13*000039066*260115*1601~
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*MOORE*EVETTE****MI*30571216000~
DMG*D8*19561002*F~
DTP*291*RD8*20260115-20260415~
EQ*42~
EQ*30~
SE*14*000039066~
GE*1*39066~
IEA*1*000039066~