ISA*00*          *00*          *ZZ*52095          *ZZ*52095          *250807*1908*^*00501*000029585*0*P*>~
GS*HS*52095*52095*250807*1908*1487113239*X*005010X279A1~
ST*270*000029585*005010X279A1~
BHT*0022*13*000029585*2508219*1908~
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*RATTINI*CARLA****MI*53309984~
DMG*D8*19540212*F~
DTP*291*RD8*20250807-20251105~
EQ*42~
EQ*30~
SE*14*000029585~
GE*1*29585~
IEA*1*000029585~