ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260330*1103*^*00501*000042928*0*P*>~
GS*HS*SKMD0*SKMD0*260330*1103*1487113239*X*005010X279A1~
ST*270*000042928*005010X279A1~
BHT*0022*13*000042928*260389*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*GWYNN*JENNIFER****MI*03129189580~
DMG*D8*19581026*F~
DTP*291*RD8*20260330-20260628~
EQ*42~
EQ*30~
SE*14*000042928~
GE*1*42928~
IEA*1*000042928~

