ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260513*1305*^*00501*000045874*0*P*>~
GS*HS*SKMD0*SKMD0*260513*1305*1487113239*X*005010X279A1~
ST*270*000045874*005010X279A1~
BHT*0022*13*000045874*2605133*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*BERRYMAN*HOPE****MI*06036375640~
DMG*D8*19640328*F~
DTP*291*RD8*20260513-20260811~
EQ*42~
EQ*30~
SE*14*000045874~
GE*1*45874~
IEA*1*000045874~

