ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260428*1304*^*00501*000024774*0*P*>~
GS*HS*SKMD0*SKMD0*260428*1304*1487113239*X*005010X279A1~
ST*270*000024774*005010X279A1~
BHT*0022*13*000024774*2604118*1304~
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*SHUBINSKY*ASYA****MI*45402414800~
DMG*D8*19370207*F~
DTP*291*RD8*20260428-20260727~
EQ*42~
EQ*30~
SE*14*000024774~
GE*1*24774~
IEA*1*000024774~

