ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260611*1406*^*00501*000047665*0*P*>~
GS*HS*SKMD0*SKMD0*260611*1406*1487113239*X*005010X279A1~
ST*270*000047665*005010X279A1~
BHT*0022*13*000047665*2606162*1406~
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*WATSON*JAMES****MI*46502937000~
DMG*D8*19600806*M~
DTP*291*RD8*20260611-20260909~
EQ*42~
EQ*30~
SE*14*000047665~
GE*1*47665~
IEA*1*000047665~

