ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260716*1107*^*00501*000049174*0*P*>~
GS*HS*SKMD0*SKMD0*260716*1107*1487113239*X*005010X279A1~
ST*270*000049174*005010X279A1~
BHT*0022*13*000049174*2607197*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*BATTS*ROBYN****MI*46902000300~
DMG*D8*19590929*F~
DTP*291*RD8*20260716-20261014~
EQ*42~
EQ*30~
SE*14*000049174~
GE*1*49174~
IEA*1*000049174~

