ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260524*1505*^*00501*000046269*0*P*>~
GS*HS*SKMD0*SKMD0*260524*1505*1487113239*X*005010X279A1~
ST*270*000046269*005010X279A1~
BHT*0022*13*000046269*2605144*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*CARDWELL*MARLENE****MI*63243913~
DMG*D8*19580630*F~
DTP*291*RD8*20260524-20260822~
EQ*42~
EQ*30~
SE*14*000046269~
GE*1*46269~
IEA*1*000046269~

