ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260225*1402*^*00501*000041579*0*P*>~
GS*HS*SKMD0*SKMD0*260225*1402*1487113239*X*005010X279A1~
ST*270*000041579*005010X279A1~
BHT*0022*13*000041579*260256*1402~
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*JEFFERSON*TATENIA****MI*30990421740~
DMG*D8*19740116*F~
DTP*291*RD8*20260225-20260526~
EQ*42~
EQ*30~
SE*14*000041579~
GE*1*41579~
IEA*1*000041579~

