ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260917*1609*^*00501*000051022*0*P*>~
GS*HS*SKMD0*SKMD0*260917*1609*1487113239*X*005010X279A1~
ST*270*000051022*005010X279A1~
BHT*0022*13*000051022*2609260*1609~
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*PAVE*DIANNA****MI*48602756000~
DMG*D8*19480928*F~
DTP*291*RD8*20260917-20261216~
EQ*42~
EQ*30~
SE*14*000051022~
GE*1*51022~
IEA*1*000051022~