ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250806*1708*^*00501*000006800*0*P*>~
GS*HS*52095*52095*250806*1708*1487113239*X*005010X279A1~
ST*270*000006800*005010X279A1~
BHT*0022*13*000006800*2508218*1708~
HL*1**20*1~
NM1*PR*2*KAISER PERMANENTE MEDICARE ADVANTAGE 1*****PI*10403~
HL*2*1*21*1~
NM1*1P*2*HOMECENTRIS HEALTHCARE LLC*****XX*1487113239~
HL*3*2*22*0~
NM1*IL*1*GILL*MARY****MI*76142550~
DMG*D8*19451114*F~
DTP*291*RD8*20250806-20251104~
EQ*42~
EQ*30~
SE*14*000006800~
GE*1*6800~
IEA*1*000006800~