ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260325*1403*^*00501*000042771*0*P*>~
GS*HS*SKMD0*SKMD0*260325*1403*1487113239*X*005010X279A1~
ST*270*000042771*005010X279A1~
BHT*0022*13*000042771*260384*1403~
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*SESSOMS*CRENSHAW****MI*44203080200~
DMG*D8*20040223*M~
DTP*291*RD8*20260325-20260623~
EQ*42~
EQ*30~
SE*14*000042771~
GE*1*42771~
IEA*1*000042771~

