ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260923*1509*^*00501*000051189*0*P*>~
GS*HS*SKMD0*SKMD0*260923*1509*1487113239*X*005010X279A1~
ST*270*000051189*005010X279A1~
BHT*0022*13*000051189*2609266*1509~
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*TARVER*RONALD****MI*40304065200~
DMG*D8*19470605*M~
DTP*291*RD8*20260923-20261222~
EQ*42~
EQ*30~
SE*14*000051189~
GE*1*51189~
IEA*1*000051189~