ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260806*0908*^*00501*000049818*0*P*>~
GS*HS*SKMD0*SKMD0*260806*0908*1487113239*X*005010X279A1~
ST*270*000049818*005010X279A1~
BHT*0022*13*000049818*2608218*0908~
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*HART*RICHARD****MI*43203159100~
DMG*D8*19630720*M~
DTP*291*RD8*20260806-20261104~
EQ*42~
EQ*30~
SE*14*000049818~
GE*1*49818~
IEA*1*000049818~

