ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260122*1301*^*00501*000039276*0*P*>~
GS*HS*SKMD0*SKMD0*260122*1301*1487113239*X*005010X279A1~
ST*270*000039276*005010X279A1~
BHT*0022*13*000039276*260122*1301~
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*GREY*PEARLIE****MI*46201726500~
DMG*D8*19340523*M~
DTP*291*RD8*20260122-20260422~
EQ*42~
EQ*30~
SE*14*000039276~
GE*1*39276~
IEA*1*000039276~

