ISA*00*          *00*          *ZZ*xxxxxx         *ZZ*SKMD0          *251219*1312*^*00501*000001289*0*P*>~
GS*HS*SKMD0*SKMD0*251219*1312*1073904009*X*005010X279A1~
ST*270*000001289*005010X279A1~
BHT*0022*13*000001289*2512353*1312~
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*THANGIE*MARIE****MI*975011802991~
DMG*D8*19810524*F~
DTP*291*RD8*20251219-20260319~
EQ*42~
EQ*30~
SE*14*000001289~
GE*1*1289~
IEA*1*000001289~