ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260710*1107*^*00501*000048953*0*P*>~
GS*HS*SKMD0*SKMD0*260710*1107*1487113239*X*005010X279A1~
ST*270*000048953*005010X279A1~
BHT*0022*13*000048953*2607191*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*MOGER*LISA****MI*02228902000~
DMG*D8*19690926*F~
DTP*291*RD8*20260710-20261008~
EQ*42~
EQ*30~
SE*14*000048953~
GE*1*48953~
IEA*1*000048953~