ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260119*1201*^*00501*000039122*0*P*>~
GS*HS*SKMD0*SKMD0*260119*1201*1487113239*X*005010X279A1~
ST*270*000039122*005010X279A1~
BHT*0022*13*000039122*260119*1201~
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*JOHNSON*LINDA****MI*02101795000~
DMG*D8*19520729*F~
DTP*291*RD8*20260119-20260419~
EQ*42~
EQ*30~
SE*14*000039122~
GE*1*39122~
IEA*1*000039122~

