ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260414*1604*^*00501*000044059*0*P*>~
GS*HS*SKMD0*SKMD0*260414*1604*1487113239*X*005010X279A1~
ST*270*000044059*005010X279A1~
BHT*0022*13*000044059*2604104*1604~
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*HART*PHILLIP****MI*43001542300~
DMG*D8*19550102*M~
DTP*291*RD8*20260414-20260713~
EQ*42~
EQ*30~
SE*14*000044059~
GE*1*44059~
IEA*1*000044059~

