ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260910*0909*^*00501*000050570*0*P*>~
GS*HS*SKMD0*SKMD0*260910*0909*1487113239*X*005010X279A1~
ST*270*000050570*005010X279A1~
BHT*0022*13*000050570*2609253*0909~
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*BEVERLY*CLINTON****MI*46606235900~
DMG*D8*19630829*M~
DTP*291*RD8*20260910-20261209~
EQ*42~
EQ*30~
SE*14*000050570~
GE*1*50570~
IEA*1*000050570~