ISA*00*          *00*          *ZZ*SKMD0          *ZZ*SKMD0          *260928*0909*^*00501*000051251*0*P*>~
GS*HS*SKMD0*SKMD0*260928*0909*1487113239*X*005010X279A1~
ST*270*000051251*005010X279A1~
BHT*0022*13*000051251*2609271*0909~
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*YERBY*MICHAEL****MI*30528599750~
DMG*D8*19751120*M~
DTP*291*RD8*20260928-20261227~
EQ*42~
EQ*30~
SE*14*000051251~
GE*1*51251~
IEA*1*000051251~

