ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260604*1306*^*00501*000042677*0*P*>~
GS*HS*SKMD0*SKMD0*260604*1306*1487113239*X*005010X279A1~
ST*270*000042677*005010X279A1~
BHT*0022*13*000042677*2606155*1306~
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*LEE OGETTE*JUDITH****MI*45105353500~
DMG*D8*19451030*F~
DTP*291*RD8*20260604-20260902~
EQ*42~
EQ*30~
SE*14*000042677~
GE*1*42677~
IEA*1*000042677~

