ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260210*1602*^*00501*000040835*0*P*>~
GS*HS*SKMD0*SKMD0*260210*1602*1487113239*X*005010X279A1~
ST*270*000040835*005010X279A1~
BHT*0022*13*000040835*260241*1602~
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*DAUGHTON*TIMOTHY****MI*84272982~
DMG*D8*19741018*M~
DTP*291*RD8*20260210-20260511~
EQ*42~
EQ*30~
SE*14*000040835~
GE*1*40835~
IEA*1*000040835~

