ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260605*1506*^*00501*000047407*0*P*>~
GS*HS*SKMD0*SKMD0*260605*1506*1487113239*X*005010X279A1~
ST*270*000047407*005010X279A1~
BHT*0022*13*000047407*2606156*1506~
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*JOHNSON*CLARASSIE****MI*42401452100~
DMG*D8*19550710*F~
DTP*291*RD8*20260605-20260903~
EQ*42~
EQ*30~
SE*14*000047407~
GE*1*47407~
IEA*1*000047407~

