ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260330*1303*^*00501*000042882*0*P*>~
GS*HS*SKMD0*SKMD0*260330*1303*1487113239*X*005010X279A1~
ST*270*000042882*005010X279A1~
BHT*0022*13*000042882*260389*1303~
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*COOPER*ELMA****MI*30949397000~
DMG*D8*19450905*F~
DTP*291*RD8*20260330-20260628~
EQ*42~
EQ*30~
SE*14*000042882~
GE*1*42882~
IEA*1*000042882~

