ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260921*0709*^*00501*000051062*0*P*>~
GS*HS*SKMD0*SKMD0*260921*0709*1487113239*X*005010X279A1~
ST*270*000051062*005010X279A1~
BHT*0022*13*000051062*2609264*0709~
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*BOONE*PAULETTE****MI*03203972000~
DMG*D8*19640731*F~
DTP*291*RD8*20260921-20261220~
EQ*42~
EQ*30~
SE*14*000051062~
GE*1*51062~
IEA*1*000051062~