ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260604*1306*^*00501*000038672*0*P*>~
GS*HS*SKMD0*SKMD0*260604*1306*1487113239*X*005010X279A1~
ST*270*000038672*005010X279A1~
BHT*0022*13*000038672*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*HACK*PATRICIA****MI*30498754570~
DMG*D8*19570617*F~
DTP*291*RD8*20260604-20260902~
EQ*42~
EQ*30~
SE*14*000038672~
GE*1*38672~
IEA*1*000038672~