ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260124*1301*^*00501*000039344*0*P*>~
GS*HS*SKMD0*SKMD0*260124*1301*1487113239*X*005010X279A1~
ST*270*000039344*005010X279A1~
BHT*0022*13*000039344*260124*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*SMITH*BARBARA****MI*47301609600~
DMG*D8*19670705*M~
DTP*291*RD8*20260124-20260424~
EQ*42~
EQ*30~
SE*14*000039344~
GE*1*39344~
IEA*1*000039344~

