ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260512*1005*^*00501*000045805*0*P*>~
GS*HS*SKMD0*SKMD0*260512*1005*1487113239*X*005010X279A1~
ST*270*000045805*005010X279A1~
BHT*0022*13*000045805*2605132*1005~
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*BOLTON*JEFFREY****MI*446014551000~
DMG*D8*19650721*M~
DTP*291*RD8*20260512-20260810~
EQ*42~
EQ*30~
SE*14*000045805~
GE*1*45805~
IEA*1*000045805~