ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260522*1705*^*00501*000040619*0*P*>~
GS*HS*SKMD0*SKMD0*260522*1705*1487113239*X*005010X279A1~
ST*270*000040619*005010X279A1~
BHT*0022*13*000040619*2605142*1705~
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*HAWKINS*DENISE****MI*30635769590~
DMG*D8*19590111*F~
DTP*291*RD8*20260522-20260820~
EQ*42~
EQ*30~
SE*14*000040619~
GE*1*40619~
IEA*1*000040619~

