ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260218*1202*^*00501*000041237*0*P*>~
GS*HS*SKMD0*SKMD0*260218*1202*1487113239*X*005010X279A1~
ST*270*000041237*005010X279A1~
BHT*0022*13*000041237*260249*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*SORTINO*PATRICIA****MI*03165877450~
DMG*D8*19451126*F~
DTP*291*RD8*20260218-20260519~
EQ*42~
EQ*30~
SE*14*000041237~
GE*1*41237~
IEA*1*000041237~

