ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260220*1102*^*00501*000041335*0*P*>~
GS*HS*SKMD0*SKMD0*260220*1102*1487113239*X*005010X279A1~
ST*270*000041335*005010X279A1~
BHT*0022*13*000041335*260251*1102~
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*BURRIS*AMANDA****MI*43701548700~
DMG*D8*19840430*F~
DTP*291*RD8*20260220-20260521~
EQ*42~
EQ*30~
SE*14*000041335~
GE*1*41335~
IEA*1*000041335~

