ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260519*1505*^*00501*000046116*0*P*>~
GS*HS*SKMD0*SKMD0*260519*1505*1487113239*X*005010X279A1~
ST*270*000046116*005010X279A1~
BHT*0022*13*000046116*2605139*1505~
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*WALLACE*CAROLYN****MI*45500032300~
DMG*D8*19360705*F~
DTP*291*RD8*20260519-20260817~
EQ*42~
EQ*30~
SE*14*000046116~
GE*1*46116~
IEA*1*000046116~

