ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260622*1406*^*00501*000047919*0*P*>~
GS*HS*SKMD0*SKMD0*260622*1406*1487113239*X*005010X279A1~
ST*270*000047919*005010X279A1~
BHT*0022*13*000047919*2606173*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*WILSON*DOROTHY****MI*03278964610~
DMG*D8*19611127*M~
DTP*291*RD8*20260622-20260920~
EQ*42~
EQ*30~
SE*14*000047919~
GE*1*47919~
IEA*1*000047919~