ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260707*1207*^*00501*000040228*0*P*>~
GS*HS*SKMD0*SKMD0*260707*1207*1487113239*X*005010X279A1~
ST*270*000040228*005010X279A1~
BHT*0022*13*000040228*2607188*1207~
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*SMITH*MARTHA****MI*03238861000~
DMG*D8*19510501*F~
DTP*291*RD8*20260707-20261005~
EQ*42~
EQ*30~
SE*14*000040228~
GE*1*40228~
IEA*1*000040228~