ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260722*1307*^*00501*000049333*0*P*>~
GS*HS*SKMD0*SKMD0*260722*1307*1487113239*X*005010X279A1~
ST*270*000049333*005010X279A1~
BHT*0022*13*000049333*2607203*1307~
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*RAMSEY*DARRYL****MI*44201007200~
DMG*D8*19630116*M~
DTP*291*RD8*20260722-20261020~
EQ*42~
EQ*30~
SE*14*000049333~
GE*1*49333~
IEA*1*000049333~