ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260609*1306*^*00501*000047593*0*P*>~
GS*HS*SKMD0*SKMD0*260609*1306*1487113239*X*005010X279A1~
ST*270*000047593*005010X279A1~
BHT*0022*13*000047593*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*KIM*DAE****MI*47804691100~
DMG*D8*19501226*M~
DTP*291*RD8*20260609-20260907~
EQ*42~
EQ*30~
SE*14*000047593~
GE*1*47593~
IEA*1*000047593~

