ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260209*1202*^*00501*000040713*0*P*>~
GS*HS*SKMD0*SKMD0*260209*1202*1487113239*X*005010X279A1~
ST*270*000040713*005010X279A1~
BHT*0022*13*000040713*260240*1202~
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*STIGLER*CARL****MI*44303582300~
DMG*D8*19630703*M~
DTP*291*RD8*20260209-20260510~
EQ*42~
EQ*30~
SE*14*000040713~
GE*1*40713~
IEA*1*000040713~

