ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260904*1409*^*00501*000050411*0*P*>~
GS*HS*SKMD0*SKMD0*260904*1409*1487113239*X*005010X279A1~
ST*270*000050411*005010X279A1~
BHT*0022*13*000050411*2609247*1409~
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*LOWENTHAL*VICKI****MI*48905079000~
DMG*D8*19580811*F~
DTP*291*RD8*20260904-20261203~
EQ*42~
EQ*30~
SE*14*000050411~
GE*1*50411~
IEA*1*000050411~

