ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260330*1003*^*00501*000042922*0*P*>~
GS*HS*SKMD0*SKMD0*260330*1003*1487113239*X*005010X279A1~
ST*270*000042922*005010X279A1~
BHT*0022*13*000042922*260389*1003~
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*MONTGOMERY*RAYVANNA****MI*41101195700~
DMG*D8*19560423*M~
DTP*291*RD8*20260330-20260628~
EQ*42~
EQ*30~
SE*14*000042922~
GE*1*42922~
IEA*1*000042922~