ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260130*1001*^*00501*000039487*0*P*>~
GS*HS*SKMD0*SKMD0*260130*1001*1487113239*X*005010X279A1~
ST*270*000039487*005010X279A1~
BHT*0022*13*000039487*260130*1001~
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*BOOTH*JOHN****MI*11267182850~
DMG*D8*19610503*F~
DTP*291*RD8*20260130-20260430~
EQ*42~
EQ*30~
SE*14*000039487~
GE*1*39487~
IEA*1*000039487~