ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260130*1601*^*00501*000039496*0*P*>~
GS*HS*SKMD0*SKMD0*260130*1601*1487113239*X*005010X279A1~
ST*270*000039496*005010X279A1~
BHT*0022*13*000039496*260130*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*CARR*MARY****MI*30762080000~
DMG*D8*19670129*M~
DTP*291*RD8*20260130-20260430~
EQ*42~
EQ*30~
SE*14*000039496~
GE*1*39496~
IEA*1*000039496~

