ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260716*1407*^*00501*000048842*0*P*>~
GS*HS*SKMD0*SKMD0*260716*1407*1487113239*X*005010X279A1~
ST*270*000048842*005010X279A1~
BHT*0022*13*000048842*2607197*1407~
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*DIAZ*BRENDA****MI*43902657300~
DMG*D8*19580715*F~
DTP*291*RD8*20260716-20261014~
EQ*42~
EQ*30~
SE*14*000048842~
GE*1*48842~
IEA*1*000048842~