ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260912*1309*^*00501*000050861*0*P*>~
GS*HS*SKMD0*SKMD0*260912*1309*1487113239*X*005010X279A1~
ST*270*000050861*005010X279A1~
BHT*0022*13*000050861*2609255*1309~
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*THOMAS*EDWARD****MI*12030235530~
DMG*D8*19530202*M~
DTP*291*RD8*20260912-20261211~
EQ*42~
EQ*30~
SE*14*000050861~
GE*1*50861~
IEA*1*000050861~