ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260310*1103*^*00501*000042129*0*P*>~
GS*HS*SKMD0*SKMD0*260310*1103*1487113239*X*005010X279A1~
ST*270*000042129*005010X279A1~
BHT*0022*13*000042129*260369*1103~
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*MILSNA*JULIE****MI*42004710100~
DMG*D8*19601022*F~
DTP*291*RD8*20260310-20260608~
EQ*42~
EQ*30~
SE*14*000042129~
GE*1*42129~
IEA*1*000042129~

