ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260609*1306*^*00501*000047585*0*P*>~
GS*HS*SKMD0*SKMD0*260609*1306*1487113239*X*005010X279A1~
ST*270*000047585*005010X279A1~
BHT*0022*13*000047585*2606160*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*MCAVOY*JOHN****MI*11406563130~
DMG*D8*19650118*M~
DTP*291*RD8*20260609-20260907~
EQ*42~
EQ*30~
SE*14*000047585~
GE*1*47585~
IEA*1*000047585~

