ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260415*1804*^*00501*000044099*0*P*>~
GS*HS*SKMD0*SKMD0*260415*1804*1487113239*X*005010X279A1~
ST*270*000044099*005010X279A1~
BHT*0022*13*000044099*2604105*1804~
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*GIBSON*DAVID****MI*45903325600~
DMG*D8*19630703*M~
DTP*291*RD8*20260415-20260714~
EQ*42~
EQ*30~
SE*14*000044099~
GE*1*44099~
IEA*1*000044099~

