ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260518*1605*^*00501*000046022*0*P*>~
GS*HS*SKMD0*SKMD0*260518*1605*1487113239*X*005010X279A1~
ST*270*000046022*005010X279A1~
BHT*0022*13*000046022*2605138*1605~
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*JONES*ANGELITA****MI*48901596100~
DMG*D8*19600219*F~
DTP*291*RD8*20260518-20260816~
EQ*42~
EQ*30~
SE*14*000046022~
GE*1*46022~
IEA*1*000046022~

