ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260521*0905*^*00501*000046174*0*P*>~
GS*HS*SKMD0*SKMD0*260521*0905*1487113239*X*005010X279A1~
ST*270*000046174*005010X279A1~
BHT*0022*13*000046174*2605141*0905~
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*POVOLOTSKIY*YULIY****MI*03304179300~
DMG*D8*19300729*M~
DTP*291*RD8*20260521-20260819~
EQ*42~
EQ*30~
SE*14*000046174~
GE*1*46174~
IEA*1*000046174~

