ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260427*1704*^*00501*000044495*0*P*>~
GS*HS*SKMD0*SKMD0*260427*1704*1487113239*X*005010X279A1~
ST*270*000044495*005010X279A1~
BHT*0022*13*000044495*2604117*1704~
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*CAMPBELL*JOANN****MI*43404443200~
DMG*D8*19490213*F~
DTP*291*RD8*20260427-20260726~
EQ*42~
EQ*30~
SE*14*000044495~
GE*1*44495~
IEA*1*000044495~