ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260314*1603*^*00501*000042377*0*P*>~
GS*HS*SKMD0*SKMD0*260314*1603*1487113239*X*005010X279A1~
ST*270*000042377*005010X279A1~
BHT*0022*13*000042377*260373*1603~
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*MAHONEY*SEAN****MI*11342103170~
DMG*D8*19901125*M~
DTP*291*RD8*20260314-20260612~
EQ*42~
EQ*30~
SE*14*000042377~
GE*1*42377~
IEA*1*000042377~

