ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260407*0504*^*00501*000041935*0*P*>~
GS*HS*SKMD0*SKMD0*260407*0504*1487113239*X*005010X279A1~
ST*270*000041935*005010X279A1~
BHT*0022*13*000041935*260497*0504~
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*HEYROVSKA*RAJALAKSHMI****MI*47206090100~
DMG*D8*19370726*F~
DTP*291*RD8*20260407-20260706~
EQ*42~
EQ*30~
SE*14*000041935~
GE*1*41935~
IEA*1*000041935~

