ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260404*1004*^*00501*000043085*0*P*>~
GS*HS*SKMD0*SKMD0*260404*1004*1487113239*X*005010X279A1~
ST*270*000043085*005010X279A1~
BHT*0022*13*000043085*260494*1004~
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*PALMER*JOHN****MI*30993725800~
DMG*D8*19801011*M~
DTP*291*RD8*20260404-20260703~
EQ*42~
EQ*30~
SE*14*000043085~
GE*1*43085~
IEA*1*000043085~