ISA*00*          *00*          *ZZ*xxxxxx         *ZZ*SKMD0          *250807*1008*^*00501*000000357*0*P*>~
GS*HS*SKMD0*SKMD0*250807*1008*1073904009*X*005010X279A1~
ST*270*000000357*005010X279A1~
BHT*0022*13*000000357*2508219*1008~
HL*1**20*1~
NM1*PR*2*MARYLAND MEDICAID*****PI*SKMD0~
HL*2*1*21*1~
NM1*1P*2*GRACE HOME HEALTHCARE, LLC*****XX*1073904009~
HL*3*2*22*0~
NM1*IL*1*CONNELLY*RICHARD****MI*40801697700~
DMG*D8*19800214*M~
DTP*291*RD8*20250807-20251105~
EQ*42~
EQ*30~
SE*14*000000357~
GE*1*357~
IEA*1*000000357~