ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260819*1508*^*00501*000050089*0*P*>~
GS*HS*SKMD0*SKMD0*260819*1508*1487113239*X*005010X279A1~
ST*270*000050089*005010X279A1~
BHT*0022*13*000050089*2608231*1508~
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*JEFFREYS*ARLENE****MI*	30676881590~
DMG*D8*19590711*F~
DTP*291*RD8*20260819-20261117~
EQ*42~
EQ*30~
SE*14*000050089~
GE*1*50089~
IEA*1*000050089~

