ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260928*0809*^*00501*000051245*0*P*>~
GS*HS*SKMD0*SKMD0*260928*0809*1487113239*X*005010X279A1~
ST*270*000051245*005010X279A1~
BHT*0022*13*000051245*2609271*0809~
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*MORRIS*JEROME****MI*41805634400~
DMG*D8*19740629*M~
DTP*291*RD8*20260928-20261227~
EQ*42~
EQ*30~
SE*14*000051245~
GE*1*51245~
IEA*1*000051245~