ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260201*1402*^*00501*000039502*0*P*>~
GS*HS*SKMD0*SKMD0*260201*1402*1487113239*X*005010X279A1~
ST*270*000039502*005010X279A1~
BHT*0022*13*000039502*260232*1402~
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*PLOTNICK*KIMBERLY****MI*22047059680~
DMG*D8*19680824*M~
DTP*291*RD8*20260201-20260502~
EQ*42~
EQ*30~
SE*14*000039502~
GE*1*39502~
IEA*1*000039502~

