ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260221*1502*^*00501*000041378*0*P*>~
GS*HS*SKMD0*SKMD0*260221*1502*1487113239*X*005010X279A1~
ST*270*000041378*005010X279A1~
BHT*0022*13*000041378*260252*1502~
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*HOLLY-EPPS*WANDA****MI*42301388500~
DMG*D8*19680906*M~
DTP*291*RD8*20260221-20260522~
EQ*42~
EQ*30~
SE*14*000041378~
GE*1*41378~
IEA*1*000041378~

