ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260709*1107*^*00501*000048846*0*P*>~
GS*HS*SKMD0*SKMD0*260709*1107*1487113239*X*005010X279A1~
ST*270*000048846*005010X279A1~
BHT*0022*13*000048846*2607190*1107~
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*MATTHEWS*DENISE****MI*30522151750~
DMG*D8*19750105*F~
DTP*291*RD8*20260709-20261007~
EQ*42~
EQ*30~
SE*14*000048846~
GE*1*48846~
IEA*1*000048846~