ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260508*1305*^*00501*000045698*0*P*>~
GS*HS*SKMD0*SKMD0*260508*1305*1487113239*X*005010X279A1~
ST*270*000045698*005010X279A1~
BHT*0022*13*000045698*2605128*1305~
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*BURDYCK*ROSALIE****MI*44004446500~
DMG*D8*19450304*F~
DTP*291*RD8*20260508-20260806~
EQ*42~
EQ*30~
SE*14*000045698~
GE*1*45698~
IEA*1*000045698~

