ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260603*1406*^*00501*000046784*0*P*>~
GS*HS*SKMD0*SKMD0*260603*1406*1487113239*X*005010X279A1~
ST*270*000046784*005010X279A1~
BHT*0022*13*000046784*2606154*1406~
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*RICHARDSON*LAUREN****MI*03216666000~
DMG*D8*19500809*F~
DTP*291*RD8*20260603-20260901~
EQ*42~
EQ*30~
SE*14*000046784~
GE*1*46784~
IEA*1*000046784~

